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NPI Code Detail

MEDICARE: EMILY EISCHEN

MEDICARE: EMILY EISCHEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician343061NY
2207V00000XObstetrics & Gynecology Physician036.175860IL

General Provider Information

NPI Number : 1508515792
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY EISCHEN
Provider Business Mailing Address
First Line : 4113 WINDCHIME LN
Second Line :
City : LAKELAND
State : FL
Zip : 33811-3041
Country : US
Telephone Number : 847-961-0787
Fax Number :
Provider Business Practice Location Address
First Line : 2900 N LAKE SHORE DR
Second Line :
City : CHICAGO
State : IL
Zip : 60657-5640
Country : US
Telephone Number : 773-665-6730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2022
Last Update Date : 06/20/2026

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Directions to “ EMILY EISCHEN ” Practice Location

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