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General NPI Number Information
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NPI Number | 1831237502
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Entity Type | Individual
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Provider Name | LINDA F GRUENBERG D.O.
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Gender | Female
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 12/02/2014
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Provider Practice Location Address
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Address Line | 307 N. MICHIGAN AVE SUITE 922
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City | CHICAGO
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State | IL
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Zip | 60601
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Country | US
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Telephone | 312-266-5553
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Fax | 312-332-3933
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Provider Business Mailing Address
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Address Line | 307 N. MICHIGAN AVE., STE 922
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City | CHICAGO
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State | IL
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Zip | 60601
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Country | US
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Telephone | 312-266-5553
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Fax | 312-332-3933
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036-085183
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | 036-085183
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License Number State | IL
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