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General NPI Number Information
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NPI Number | 1043023567
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Entity Type | Individual
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Provider Name | ARTURO DANIEL PADILLA LSW
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Gender | Male
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 34121 N US HIGHWAY 45
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City | GRAYSLAKE
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State | IL
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Zip | 60030-1768
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Country | US
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Telephone | 224-358-6619
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 SAINT REGIS DR APT 208
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City | LOMBARD
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State | IL
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Zip | 60148-4927
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Country | US
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Telephone | 847-502-9338
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150109534
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License Number State | IL
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