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General NPI Number Information
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NPI Number | 1649915034
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Entity Type | Individual
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Provider Name | EMILIE MARGARET VERRAN DO
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Gender | Female
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Dates
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Enumeration Date | 05/01/2022
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 3329 75TH STREET, ENDEAVOR HEALTH MEDICAL GROUP SUITE 202
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City | WOODRIDGE
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State | IL
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Zip | 60517
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Country | US
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Telephone | 630-646-6750
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Fax |
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Provider Business Mailing Address
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Address Line | 2650 RIDGE AVE.
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City | EVANSTON
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State | IL
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Zip | 60201-1718
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Country | US
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Telephone | 475-702-0408
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 125.079358
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036173532
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License Number State | IL
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