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General NPI Number Information
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NPI Number | 1801090220
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Entity Type | Individual
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Provider Name | AMBERLY K WOLBER MD
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Gender | Female
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 22285 N PEPPER RD STE 201
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City | LAKE BARRINGTON
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State | IL
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Zip | 60010-2540
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Country | US
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Telephone | 847-382-5080
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Fax | 847-382-0923
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Provider Business Mailing Address
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Address Line | 22285 N PEPPER RD STE 201
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City | LAKE BARRINGTON
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State | IL
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Zip | 60010-2540
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Country | US
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Telephone | 847-382-5080
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Fax | 847-382-0923
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 41104
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 2013-01108
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME152478
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 036.169412
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License Number State | IL
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