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General NPI Number Information
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NPI Number | 1043114879
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Entity Type | Organization
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Legal Business Name | JOHANNA MACARIOLA PLLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 304 N LARCH AVE
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City | ELMHURST
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State | IL
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Zip | 60126-2312
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Country | US
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Telephone | 224-622-3965
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Fax |
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Provider Business Mailing Address
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Address Line | 304 N LARCH AVE
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City | ELMHURST
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State | IL
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Zip | 60126-2312
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | JOHANNA MACARIOLA
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Credential |
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Telephone | 224-622-3965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | NULL
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