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General NPI Number Information
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NPI Number | 1114042405
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN FAMILY CARE, LTD
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 650 E DIEHL RD STE 121
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City | NAPERVILLE
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State | IL
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Zip | 60563-4812
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Country | US
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Telephone | 630-983-0600
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Fax | 630-983-3590
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Provider Business Mailing Address
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Address Line | 650 E DIEHL RD STE 121
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City | NAPERVILLE
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State | IL
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Zip | 60563-4812
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Country | US
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Telephone | 630-983-0600
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Fax | 630-983-3590
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Authorized Official
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Title or Position | OWNER
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Name | JAMES SHALLEY
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Credential |
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Telephone | 630-983-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 060-005885
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License Number State | IL
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