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General NPI Number Information
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NPI Number | 1558653949
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Entity Type | Organization
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Legal Business Name | DR LUCY DEY DIABETES ENDOCRINOLOGY AND METABOLISM CLINIC PC
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 11/04/2019
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Provider Practice Location Address
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Address Line | 202 N HAMMES AVE UNIT C
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City | JOLIET
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State | IL
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Zip | 60435-8136
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Country | US
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Telephone | 815-714-2240
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Fax |
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Provider Business Mailing Address
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Address Line | 17525 ORLAND WOODS LN
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City | ORLAND PARK
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State | IL
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Zip | 60467-8565
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LUCY DEY
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Credential | M.D
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Telephone | 815-714-2240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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