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General NPI Number Information
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NPI Number | 1578533493
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Entity Type | Individual
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Provider Name | JOHN T LANDERS JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 2701 PATRIOT BLVD
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City | GLENVIEW
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State | IL
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Zip | 60026-8039
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Country | US
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Telephone | 847-535-7664
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Fax | 847-998-9071
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Provider Business Mailing Address
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Address Line | 2701 PATRIOT BLVD
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City | GLENVIEW
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State | IL
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Zip | 60026-8039
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Country | US
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Telephone | 847-535-7664
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Fax | 847-998-9303
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 036174729
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 22066
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License Number State | WV
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