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General NPI Number Information
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NPI Number | 1538369574
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Entity Type | Organization
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Legal Business Name | WHISPERING POINT OPHTHALMOLOGY SC
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4314 W CRYSTAL LAKE RD STE B
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City | MCHENRY
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State | IL
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Zip | 60050-4281
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Country | US
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Telephone | 815-363-8866
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Fax | 815-363-8893
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Provider Business Mailing Address
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Address Line | 4314 W CRYSTAL LAKE RD STE B
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City | MCHENRY
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State | IL
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Zip | 60050-4281
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Country | US
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Telephone | 815-363-8866
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Fax | 815-363-8893
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KIM ZAWACKI
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Credential |
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Telephone | 815-363-8866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 036097592
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0
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License Number State | IL
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