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General NPI Number Information
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NPI Number | 1710096326
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Entity Type | Individual
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Provider Name | LAURA LYNN KAESKE DC
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Gender | Female
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 2101 WAUKEGAN RD STE 100
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City | BANNOCKBURN
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State | IL
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Zip | 60015-1836
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Country | US
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Telephone | 847-236-1194
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Fax | 847-236-1195
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Provider Business Mailing Address
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Address Line | 1132 OXFORD RD
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City | DEERFIELD
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State | IL
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Zip | 60015-3325
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Country | US
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Telephone | 847-607-8561
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Fax | 847-236-1195
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038007864
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License Number State | IL
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