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General NPI Number Information
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NPI Number | 1093318164
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Entity Type | Organization
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Legal Business Name | VICTRESS, A WELLNESS CENTER FOR WOMEN, INC
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Dates
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Enumeration Date | 11/19/2020
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 7110 W 127TH ST STE 150
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1579
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Country | US
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Telephone | 708-261-5728
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Fax |
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Provider Business Mailing Address
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Address Line | 7120 W 127TH ST
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1560
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Country | US
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Telephone | 708-428-2527
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CAITLIN SCHMIDT
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Credential |
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Telephone | 708-261-5728
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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 |
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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