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General NPI Number Information
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NPI Number | 1609065895
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Entity Type | Individual
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Provider Name | ANDREA ARLENE PAPPALARDO WLOCHOWICZ MD
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Gender | Female
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1801 W TAYLOR ST
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 312-996-7416
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 W TAYLOR ST
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City | CHICAGO
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State | IL
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Zip | 60612-4795
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Country | US
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Telephone | 312-996-7416
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036127808
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 036127808
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 036127808
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036127808
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number | 036127808
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License Number State | IL
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