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General NPI Number Information
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NPI Number | 1760860829
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Entity Type | Individual
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Provider Name | ERICA LOPATA KLEIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/09/2015
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 1775 W DEMPSTER ST
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City | PARK RIDGE
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State | IL
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Zip | 60068-1143
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Country | US
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Telephone | 847-723-8236
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Fax |
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Provider Business Mailing Address
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Address Line | 225 E CHICAGO AVE # 9
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City | CHICAGO
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State | IL
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Zip | 60611-2991
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Country | US
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Telephone | 312-227-3484
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Fax | 312-227-9783
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 125.067700
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036151606
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | 036-151606
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License Number State | IL
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