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General NPI Number Information
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NPI Number | 1992021125
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Entity Type | Individual
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Provider Name | CAROLINE L SKOLNIK
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Gender | Female
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Dates
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Enumeration Date | 04/13/2010
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 840 S WOOD ST RM 440
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City | CHICAGO
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State | IL
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Zip | 60612-4325
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Country | US
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Telephone | 312-996-7704
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Fax |
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Provider Business Mailing Address
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Address Line | 1819 W POLK ST # MC733
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City | CHICAGO
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State | IL
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Zip | 60612-4356
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Country | US
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Telephone | 312-996-9247
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036133484
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036133484
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License Number State | IL
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