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General NPI Number Information
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NPI Number | 1568586733
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Entity Type | Organization
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Legal Business Name | CRISTINA S BROTEA M D SC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 1300 N HIGHLAND AVE
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City | AURORA
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State | IL
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Zip | 60506-1451
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Country | US
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Telephone | 630-301-7595
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Fax | 630-301-7595
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Provider Business Mailing Address
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Address Line | 4107 EASY CIR
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City | NAPERVILLE
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State | IL
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Zip | 60564-4431
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Country | US
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Telephone | 630-301-7595
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Fax | 630-301-7596
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Authorized Official
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Title or Position | PRESIDENT
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Name | CRISTINA S. BROTEA
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Credential | M.D.
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Telephone | 630-301-7595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | IL
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