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General NPI Number Information
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NPI Number | 1841976891
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Entity Type | Organization
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Legal Business Name | HLS ENDOCRINOLOGY PLLC
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Dates
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Enumeration Date | 06/26/2023
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | 333 E IL ROUTE 83 STE 100
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City | MUNDELEIN
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State | IL
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Zip | 60060-4278
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Country | US
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Telephone | 224-585-9559
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Fax | 978-506-2201
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Provider Business Mailing Address
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Address Line | 333 EAST ROUTE 83 SUITE 100
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City | MUNDELEIN
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State | IL
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Zip | 60060
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Country | US
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Telephone | 224-585-9559
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Fax | 978-506-2201
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Authorized Official
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Title or Position | DOCTOR
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Name | OLGA DUCHON
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Credential | MD
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Telephone | 773-814-9248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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