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General NPI Number Information
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NPI Number | 1881222735
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Entity Type | Individual
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Provider Name | SEAN W POWERS DO
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Gender | Male
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Dates
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Enumeration Date | 03/27/2020
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 7055 HIGH GROVE BLVD STE 100
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City | BURR RIDGE
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State | IL
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Zip | 60527-7625
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Country | US
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Telephone | 630-371-9980
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Fax | 630-371-1555
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Provider Business Mailing Address
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Address Line | 7055 HIGH GROVE BLVD STE 100
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City | BURR RIDGE
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State | IL
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Zip | 60527-7625
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Country | US
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Telephone | 630-371-9980
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Fax | 630-371-1555
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 036.162318
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License Number State | IL
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