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General NPI Number Information
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NPI Number | 1558369231
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Entity Type | Individual
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Provider Name | LISA L PILLSBURY MD
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Gender | Female
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 11/10/2020
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Provider Practice Location Address
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Address Line | 901 BIESTERFIELD RD SUITE 310
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-3392
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Country | US
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Telephone | 847-952-9332
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Fax | 847-952-9338
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Provider Business Mailing Address
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Address Line | 120W 22ND ST 200
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City | OAK BROOK
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State | IL
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Zip | 60523-1563
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Country | US
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Telephone | 630-974-5240
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Fax | 630-974-5274
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 036084900
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License Number State | IL
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