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General NPI Number Information
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NPI Number | 1659197598
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Entity Type | Individual
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Provider Name | MAEGHAN HELENA EAKER PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 3471 GREEN BAY ROAD
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City | NORTH CHICAGO
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State | IL
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Zip | 60064
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Country | US
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Telephone | 847-247-6908
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Fax |
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Provider Business Mailing Address
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Address Line | 100 N HAVEN RD APT 524
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City | ELMHURST
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State | IL
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Zip | 60126-2836
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Country | US
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Telephone | 815-409-9064
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085.010949
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License Number State | IL
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