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General NPI Number Information
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NPI Number | 1700932902
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Entity Type | Organization
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Legal Business Name | LOUISE C. TOMKINS MD PC
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Dates
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Enumeration Date | 01/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 444 SKOKIE BLVD 360
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City | WILMETTE
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State | IL
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Zip | 60091-3086
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Country | US
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Telephone | 847-256-9199
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Fax | 847-835-5038
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Provider Business Mailing Address
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Address Line | 444 SKOKIE BLVD 360
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City | WILMETTE
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State | IL
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Zip | 60091-3086
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Country | US
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Telephone | 847-256-9199
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Fax | 847-835-5038
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. LOUISE COLLUMS TOMKINS
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Credential | M.D.
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Telephone | 847-256-9199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 06000376
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License Number State | IL
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