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General NPI Number Information
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NPI Number | 1073529418
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Entity Type | Organization
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Legal Business Name | ANN FOSTER LTD, DBA MILLENNIUM COUNSELING CENTER
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8 S MICHIGAN AVE # 601-610
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City | CHICAGO
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State | IL
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Zip | 60603-3357
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Country | US
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Telephone | 312-460-8001
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Fax |
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Provider Business Mailing Address
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Address Line | 8 S MICHIGAN AVE # 601-610
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City | CHICAGO
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State | IL
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Zip | 60603-3357
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Country | US
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Telephone | 312-460-8001
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/EXECUTIVE DIRECTOR
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Name | MS. ANN FOSTER
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Credential | MTS, LCPC, CADC
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Telephone | 312-460-8001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | IL
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