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General NPI Number Information
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NPI Number | 1588575963
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Entity Type | Individual
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Provider Name | ALLISON WAZORICK FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 1170 E BELVIDERE RD STE 212
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City | GRAYSLAKE
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State | IL
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Zip | 60030-2034
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Country | US
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Telephone | 847-543-6814
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Fax | 847-543-0787
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Provider Business Mailing Address
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Address Line | 1013 GRANT PL
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City | WAUCONDA
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State | IL
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Zip | 60084-1313
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Country | US
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Telephone | 847-543-6814
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Fax | 847-543-0787
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.036074
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License Number State | IL
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