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General NPI Number Information
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NPI Number | 1861743619
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Entity Type | Organization
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Legal Business Name | LAURA E BABER MD LLC
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Dates
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Enumeration Date | 09/19/2012
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Last Update Date | 12/10/2012
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Provider Practice Location Address
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Address Line | 2500 W HIGGINS RD SUITE 470
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-7220
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Country | US
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Telephone | 224-653-8324
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Fax | 224-653-8365
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Provider Business Mailing Address
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Address Line | 965 MILLCREEK CIR
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City | ELGIN
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State | IL
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Zip | 60123-2322
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Country | US
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Telephone | 773-255-4475
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAURA EDITH BABER
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Credential | M.D.
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Telephone | 224-653-8324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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