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General NPI Number Information
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NPI Number | 1902204902
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Entity Type | Organization
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Legal Business Name | NP PRN LLP
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Dates
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Enumeration Date | 12/08/2014
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 16456 DOBSON
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City | SOUTH HOLLAND
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State | IL
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Zip | 60473
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Country | US
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Telephone | 773-241-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 16260 LOUIS AVE UNIT 712
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City | SOUTH HOLLAND
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State | IL
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Zip | 60473-5265
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Country | US
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Telephone | 773-241-9300
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Fax | 219-513-9446
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KAREN FIELDS
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Credential | PMHNP-BC, FPA, FNP-C
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Telephone | 773-241-9300
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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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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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