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General NPI Number Information
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NPI Number | 1073673000
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Entity Type | Individual
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Provider Name | JESSICA BETH SITTIG MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 1011 LAKE ST STE 314
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City | OAK PARK
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State | IL
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Zip | 60301-1138
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Country | US
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Telephone | 708-289-3017
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Fax |
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Provider Business Mailing Address
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Address Line | 7243 MADISON ST 416
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City | FOREST PARK
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State | IL
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Zip | 60130-3726
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Country | US
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Telephone | 708-289-3017
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149010171
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License Number State | IL
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