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General NPI Number Information
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NPI Number | 1811008816
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Entity Type | Individual
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Provider Name | CONRAD L. EPTING M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 225 E CHICAGO AVE # 73
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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 | 312-227-4000
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Fax | 312-227-9640
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Provider Business Mailing Address
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Address Line | 225 E CHICAGO AVE # 73
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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 | 312-227-4000
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Fax | 312-227-9640
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036119190
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 036119190
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License Number State | IL
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