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General NPI Number Information
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NPI Number | 1598059438
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Entity Type | Individual
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Provider Name | CYNDI RIKKI SOSNOWSKI M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/08/2011
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Last Update Date | 06/27/2017
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Provider Practice Location Address
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Address Line | 1653 W CONGRESS PKWY
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City | CHICAGO
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State | IL
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Zip | 60612-3833
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Country | US
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Telephone | 312-942-8928
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Fax |
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Provider Business Mailing Address
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Address Line | 412 E NOYES STREET
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005
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Country | US
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Telephone | 815-603-4812
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 125-059479
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 036.135149
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License Number State | IL
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