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General NPI Number Information
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NPI Number | 1710882766
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Entity Type | Organization
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Legal Business Name | MCLEAN MEDICAL CENTER
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Dates
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Enumeration Date | 10/10/2026
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Last Update Date | 10/10/2026
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Provider Practice Location Address
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Address Line | 995 MAIN ST
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City | ANTIOCH
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State | IL
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Zip | 60002-1535
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Country | US
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Telephone | 224-224-7722
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Fax |
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Provider Business Mailing Address
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Address Line | 995 MAIN ST
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City | ANTIOCH
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State | IL
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Zip | 60002-1535
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Country | US
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Telephone | 224-224-7722
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | ANN M ROBLES
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Credential | FNP-BC
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Telephone | 224-800-4087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State | NULL
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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 |
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License Number State | NULL
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