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General NPI Number Information
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NPI Number | 1609911866
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Entity Type | Organization
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Legal Business Name | PIEROTH CONSULTING GROUP, INC.
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 191 WAUKEGAN RD
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City | NORTHFIELD
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State | IL
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Zip | 60093-2756
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Country | US
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Telephone | 847-716-1302
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Fax |
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Provider Business Mailing Address
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Address Line | 769 S STUART AVE
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City | ELMHURST
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State | IL
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Zip | 60126-4662
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Country | US
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Telephone | 312-409-2761
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Fax |
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Authorized Official
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Title or Position | NEUROPSYCHOLOGIST
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Name | DR. ELIZABETH M PIEROTH
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Credential | PSY.D.
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Telephone | 312-409-2761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State | IL
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