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General NPI Number Information
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NPI Number | 1073023149
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Entity Type | Organization
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Legal Business Name | NEW AGE SERVICES CORPORATION
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Dates
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Enumeration Date | 10/03/2017
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 386 N YORK ST
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City | ELMHURST
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State | IL
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Zip | 60126-2363
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Country | US
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Telephone | 630-501-1742
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Fax | 773-542-1175
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Provider Business Mailing Address
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Address Line | 386 N YORK ST
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City | ELMHURST
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State | IL
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Zip | 60126-2363
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Country | US
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Telephone | 630-501-1742
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Fax | 773-542-1175
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Authorized Official
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Title or Position | CEO
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Name | DR. TONYIA WINSTON
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Credential | PHD
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Telephone | 773-542-1150
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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 | A-0579-0001-A
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 16008
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number |
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 16008
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | A-0579-0001-A
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 16008
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 16008
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | A-0579-0001-A
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License Number State | IL
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Taxonomy #9
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 16008
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License Number State | IL
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Taxonomy #10
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A-0579-0001-A
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License Number State | IL
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Taxonomy #11
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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