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General NPI Number Information
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NPI Number | 1083825111
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Entity Type | Organization
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Legal Business Name | MULTIPLE MIRACLES THERAPEUTIC SERVICES L.L.C,
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3333 W ARTHINGTON ST STE 230
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City | CHICAGO
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State | IL
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Zip | 60624-4102
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Country | US
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Telephone | 773-826-3146
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Fax |
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Provider Business Mailing Address
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Address Line | 3510 W ARTHINGTON ST
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City | CHICAGO
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State | IL
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Zip | 60624-4105
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Country | US
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Telephone | 773-619-2602
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Fax |
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Authorized Official
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Title or Position | PRESIDENT -SPEECH PATHOLOGIST
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Name | MRS. BARBARA ANN DEER
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Credential | M.A,, CCC-SLP-L
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Telephone | 773-619-2602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | IL
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