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General NPI Number Information
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NPI Number | 1003585126
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Entity Type | Organization
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Legal Business Name | MOTHERGOOD HEALTH PLLC
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Dates
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Enumeration Date | 09/11/2021
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 33 W HIGGINS RD STE 950
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City | SOUTH BARRINGTON
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State | IL
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Zip | 60010-9140
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Country | US
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Telephone | 847-986-8010
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Fax | 847-986-8106
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Provider Business Mailing Address
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Address Line | 33 W HIGGINS RD STE 950
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City | SOUTH BARRINGTON
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State | IL
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Zip | 60010-9140
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Country | US
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Telephone | 847-986-8010
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | MATTHEW JOHN MCCUE
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Credential |
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Telephone | 312-315-8983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number |
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License Number State |
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