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General NPI Number Information
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NPI Number | 1114850708
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Entity Type | Individual
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Provider Name | ELENA JOANNA PLAMENOVA GRANTCHARSKI
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Gender | Female
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 1375 E WOODFIELD RD STE 220
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City | SCHAUMBURG
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State | IL
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Zip | 60173-6068
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Country | US
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Telephone | 312-210-0175
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Fax |
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Provider Business Mailing Address
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Address Line | 1056 COVE DR
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City | PROSPECT HEIGHTS
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State | IL
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Zip | 60070-1903
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178.022809
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License Number State | IL
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