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General NPI Number Information
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NPI Number | 1851775977
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Entity Type | Individual
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Provider Name | EMILY KATE BERWALD APN
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Gender | Female
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Dates
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Enumeration Date | 07/18/2015
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 845 W WILSON AVE
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City | CHICAGO
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State | IL
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Zip | 60640-8090
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Country | US
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Telephone | 773-506-4283
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Fax | 773-275-3689
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Provider Business Mailing Address
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Address Line | 1476 W FOSTER AVE APT 3W
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City | CHICAGO
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State | IL
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Zip | 60640-0763
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Country | US
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Telephone | 616-502-1255
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209012222
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209012222
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | 209012222
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License Number State | IL
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