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General NPI Number Information
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NPI Number | 1588916472
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Entity Type | Organization
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Legal Business Name | ROBIN PASTORE DPM PC
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Dates
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Enumeration Date | 10/03/2012
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 1N141 COUNTY FARM RD SUITE 100
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City | WINFIELD
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State | IL
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Zip | 60190-2032
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Country | US
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Telephone | 630-510-0998
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Fax | 630-510-0877
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Provider Business Mailing Address
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Address Line | 9400 S CICERO AVE STE 100
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City | OAK LAWN
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State | IL
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Zip | 60453-2536
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Country | US
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Telephone | 708-424-3201
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Fax | 708-424-5001
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ROBIN PASTORE
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Credential | DPM
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Telephone | 630-510-0998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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