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General NPI Number Information
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NPI Number | 1548701972
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Entity Type | Individual
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Provider Name | SITING TRYBULA M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/18/2017
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 4405 WEAVER PKWY
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City | WARRENVILLE
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State | IL
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Zip | 60555-3269
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Country | US
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Telephone | 630-933-4056
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Fax | 630-933-5868
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Provider Business Mailing Address
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Address Line | 251 E HURON ST APT 21
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City | CHICAGO
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State | IL
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Zip | 60611-2908
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Country | US
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Telephone | 312-926-2000
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 125.070454
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 036169177
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License Number State | IL
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