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NPI 1891751566

NPI 1891751566 : STEVEN M PIERPAOLI MD : CHICAGO RIDGE, IL

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General NPI Number Information
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    NPI Number           |    1891751566
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN M PIERPAOLI MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/21/2006
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    Last Update Date     |    04/16/2025
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Provider Practice Location Address
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    Address Line         |    10400 SOUTHWEST HWY LL
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    City                 |    CHICAGO RIDGE
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    State                |    IL
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    Zip                  |    60415-1367
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    Country              |    US
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    Telephone            |    708-888-8287
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    Fax                  |    708-274-4027
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Provider Business Mailing Address
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    Address Line         |    10400 SOUTHWEST HWY LL
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    City                 |    CHICAGO RIDGE
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    State                |    IL
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    Zip                  |    60415-1367
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    Country              |    US
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    Telephone            |    708-888-8287
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    Fax                  |    708-274-4027
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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        |    208800000X
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    Taxonomy Name        |    Urology Physician
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    License Number       |    036092072
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    License Number State |    IL
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