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Individual
CAROLINE G WAMBACH
Active
Individual
CAROLINE G WAMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036180276
IL
208000000X
Pediatrics Physician
Primary
125.076074
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036180276
IL
Other
Enumeration date
05/06/2020
Last updated
08/18/2026
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