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General NPI Number Information
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NPI Number | 1801002993
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Entity Type | Organization
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Legal Business Name | ROBERT B SCOTT OCULARISTS LTD
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 10510 W CERMAK RD
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City | WESTCHESTER
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State | IL
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Zip | 60154-5202
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Country | US
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Telephone | 312-782-3558
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Fax | 312-379-2235
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Provider Business Mailing Address
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Address Line | 111 N WABASH AVE STE 1620
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City | CHICAGO
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State | IL
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Zip | 60602-3453
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Country | US
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Telephone | 312-782-3558
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Fax | 312-372-4449
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Authorized Official
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Title or Position | OCULARIST
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Name | NICOLE WALKER BLUM
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Credential | BADO, BCO
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Telephone | 708-969-4080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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