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General NPI Number Information
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NPI Number | 1861842353
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Entity Type | Individual
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Provider Name | COLLEEN CONSIDINE M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2016
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 5057 SHORELINE RD
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City | LAKE BARRINGTON
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State | IL
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Zip | 60010-1700
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Country | US
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Telephone | 847-381-5005
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Fax |
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Provider Business Mailing Address
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Address Line | 29373 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-2148
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Country | US
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Telephone | 847-390-5900
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301117222
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4301109396
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036-159774
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License Number State | IL
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