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General NPI Number Information
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NPI Number | 1992908487
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Entity Type | Individual
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Provider Name | DR. LEELACH ROTHSCHILD DEKOVEN
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Gender | Female
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 1740 W TAYLOR ST ANESTHESIOLOGY DEPT. SUITE 3200W
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City | CHICAGO
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State | IL
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Zip | 60612-7232
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Country | US
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Telephone | 312-996-4020
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Fax |
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Provider Business Mailing Address
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Address Line | 3447 N DAMEN AVE
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City | CHICAGO
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State | IL
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Zip | 60618-6139
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Country | US
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Telephone | 773-615-1315
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036116291
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License Number State | IL
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