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General NPI Number Information
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NPI Number | 1023932423
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Entity Type | Organization
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Legal Business Name | TRACI M FERTEL, MSW, LCSW, PLLC
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 29 S WEBSTER ST STE 250
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City | NAPERVILLE
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State | IL
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Zip | 60540-4560
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Country | US
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Telephone | 847-361-3378
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Fax |
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Provider Business Mailing Address
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Address Line | 2045 CAMBRIA CT
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City | NORTHBROOK
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State | IL
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Zip | 60062-7158
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Country | US
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Telephone | 847-361-3378
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | TRACI M FERTEL
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Credential | LCSW
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Telephone | 847-361-3378
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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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