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General NPI Number Information
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NPI Number | 1013564095
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Entity Type | Individual
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Provider Name | ELIZA K ADAMS MS
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Gender | Female
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Dates
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Enumeration Date | 08/23/2019
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 164 DIVISION ST STE 202
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City | ELGIN
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State | IL
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Zip | 60120-5516
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Country | US
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Telephone | 224-431-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 177 S GROVE AVE
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City | ELGIN
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State | IL
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Zip | 60120-6407
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Country | US
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Telephone | 847-521-2829
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 32041
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.013628
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License Number State | IL
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