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NPI 1689632564

NPI 1689632564 : JOY S SCLAMBERG M.D. : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1689632564
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    Entity Type          |    Individual 
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    Provider Name        |    JOY S SCLAMBERG M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/02/2006
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    Last Update Date     |    02/28/2025
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Provider Practice Location Address
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    Address Line         |    1725 W HARRISON ST SUITE 456
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60612-3841
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    Country              |    US
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    Telephone            |    312-563-4270
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    Fax                  |    312-563-4280
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Provider Business Mailing Address
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    Address Line         |    1725 W HARRISON ST SUITE 456
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60612-3841
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    Country              |    US
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    Telephone            |    312-563-4270
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    Fax                  |    312-563-4280
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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        |    2085B0100X
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    Taxonomy Name        |    Body Imaging Physician
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    License Number       |    036103052
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    2085P0229X
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    Taxonomy Name        |    Pediatric Radiology Physician
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    License Number       |    036103052
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    License Number State |    IL
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Taxonomy #3
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    036103052
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    License Number State |    IL
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