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General NPI Number Information
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NPI Number | 1013832013
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Entity Type | Organization
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Legal Business Name | WARE WELLNESS AND THERAPEUTICS PLLC
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 16 N AYER ST
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City | HARVARD
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State | IL
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Zip | 60033-2861
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Country | US
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Telephone | 815-770-0082
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Fax |
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Provider Business Mailing Address
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Address Line | 16 N AYER ST
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City | HARVARD
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State | IL
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Zip | 60033-2861
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Country | US
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Telephone | 815-770-0082
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JENNIFER WARE
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Credential | DNP. PMHNP-BC
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Telephone | 847-922-6933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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