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General NPI Number Information
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NPI Number | 1902539216
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Entity Type | Individual
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Provider Name | BEATA KUSNIERZ
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Gender | Female
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 181 WAUKEGAN RD
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City | NORTHFIELD
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State | IL
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Zip | 60093-2755
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Country | US
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Telephone | 847-446-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 1829 E BASSWOOD LN
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City | MT PROSPECT
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State | IL
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Zip | 60056-1809
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Country | US
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Telephone | 224-392-2861
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 209025770
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AG05220075
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 209025770
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 209025770
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License Number State | IL
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