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General NPI Number Information
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NPI Number | 1609813195
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Entity Type | Individual
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Provider Name | ELIZABETH E PUSCHECK MD
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Gender | Female
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 02/06/2018
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Provider Practice Location Address
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Address Line | 1585 BARRINGTON RD STE 406
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-5020
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Country | US
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Telephone | 847-884-8884
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Fax | 847-884-8093
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Provider Business Mailing Address
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Address Line | 1585 BARRINGTON RD STE 406
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-5020
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Country | US
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Telephone | 847-884-8884
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Fax | 847-884-8093
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 4301077116
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 036086763
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License Number State | IL
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