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General NPI Number Information
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NPI Number | 1790129286
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Entity Type | Organization
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Legal Business Name | DOWNERS GROVE OB/GYN, P.C.
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Dates
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Enumeration Date | 04/26/2013
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Last Update Date | 04/26/2013
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Provider Practice Location Address
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Address Line | 1121 WARREN AVE SUITE 200
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-3570
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Country | US
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Telephone | 630-312-8008
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Fax |
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Provider Business Mailing Address
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Address Line | 1121 WARREN AVE SUITE 200
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-3570
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Country | US
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Telephone | 630-312-8008
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Fax | 630-863-7896
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT LAWLER
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Credential | M.D.
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Telephone | 630-312-8008
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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 |
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License Number State |
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