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General NPI Number Information
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NPI Number | 1932905825
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Entity Type | Individual
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Provider Name | SARAH GILMAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 2335 W FULLERTON AVE STE B
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City | CHICAGO
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State | IL
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Zip | 60647-3225
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Country | US
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Telephone | 312-300-3882
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Fax |
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Provider Business Mailing Address
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Address Line | 6836 N KILDARE AVE
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-4726
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Country | US
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Telephone | 224-935-2091
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085.010891
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License Number State | IL
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