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NPI 1073740742

NPI 1073740742 : NAJMA M ADAM PH.D., L.C.S.W. : NORTHFIELD, IL

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General NPI Number Information
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    NPI Number           |    1073740742
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    Entity Type          |    Individual 
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    Provider Name        |    NAJMA M ADAM PH.D., L.C.S.W.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/19/2009
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    Last Update Date     |    07/31/2020
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Provider Practice Location Address
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    Address Line         |    550 W FRONTAGE RD STE 2810 
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    City                 |    NORTHFIELD
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    State                |    IL
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    Zip                  |    60093-1239
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    Country              |    US
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    Telephone            |    847-757-5195
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    706 WAUKEGAN RD 206C
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    City                 |    GLENVIEW
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    State                |    IL
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    Zip                  |    60025-4368
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    Country              |    US
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    Telephone            |    847-729-5906
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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       |    149013099
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    License Number State |    IL
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