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NPI 1639960990

NPI 1639960990 : DELAYNIE REED FIELD DDS : EVANSTON, IL

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General NPI Number Information
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    NPI Number           |    1639960990
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    Entity Type          |    Individual 
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    Provider Name        |    DELAYNIE REED FIELD DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/15/2025
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    Last Update Date     |    05/28/2025
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Provider Practice Location Address
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    Address Line         |    2650 RIDGE AVE STE 1304 
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    City                 |    EVANSTON
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    State                |    IL
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    Zip                  |    60201-1700
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    Country              |    US
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    Telephone            |    847-570-2380
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    180 HARVESTER DR STE 110 
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    City                 |    BURR RIDGE
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    State                |    IL
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    Zip                  |    60527-6686
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    Country              |    US
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    Telephone            |    773-702-1150
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    018.002300
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    License Number State |    IL
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