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General NPI Number Information
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NPI Number | 1750347373
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Entity Type | Individual
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Provider Name | SUE ANN HUNGERFORD MD
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Gender | Female
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Dates
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Enumeration Date | 04/22/2006
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Last Update Date | 10/19/2021
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Provider Practice Location Address
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Address Line | 30 N MICHIGAN AVE SUITE 607
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City | CHICAGO
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State | IL
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Zip | 60602-3402
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Country | US
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Telephone | 312-726-3917
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Fax | 312-726-0474
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Provider Business Mailing Address
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Address Line | 9550 LINCOLNWOOD DR
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City | EVANSTON
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State | IL
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Zip | 60203-1116
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Country | US
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Telephone | 847-363-9400
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036.072814
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036-072814
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License Number State | IL
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