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General NPI Number Information
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NPI Number | 1528633633
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Entity Type | Individual
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Provider Name | DEANNE MARIE PISARKIEWICZ MD
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Gender | Female
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Dates
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Enumeration Date | 05/21/2021
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 25 E WASHINGTON ST STE 1601
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City | CHICAGO
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State | IL
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Zip | 60602-1882
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Country | US
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Telephone | 312-999-7809
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Fax |
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Provider Business Mailing Address
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Address Line | 25 E WASHINGTON ST STE 1601
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City | CHICAGO
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State | IL
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Zip | 60602-1882
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Country | US
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Telephone | 312-999-7809
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036176005
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License Number State | IL
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