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NPI 1124449012

NPI 1124449012 : FRANCES R. SCHNADIG, LCSW, LLC : EVANSTON, IL

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General NPI Number Information
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    NPI Number           |    1124449012
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    Entity Type          |    Organization 
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    Legal Business Name  |    FRANCES R. SCHNADIG, LCSW, LLC 
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Dates
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    Enumeration Date     |    12/19/2013
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    Last Update Date     |    01/26/2016
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Provider Practice Location Address
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    Address Line         |    708 CHURCH ST SUITE 233
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    City                 |    EVANSTON
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    State                |    IL
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    Zip                  |    60201-3875
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    Country              |    US
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    Telephone            |    847-942-6326
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    800 ELGIN RD SUITE 1021
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    City                 |    EVANSTON
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    State                |    IL
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    Zip                  |    60201-5622
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    Country              |    US
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    Telephone            |    847-942-6326
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SOLE MEMBER
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    Name                 |     FRANCES R. SCHNADIG 
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    Credential           |    LCSW
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    Telephone            |    847-835-0536
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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       |    149.009076
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    License Number State |    IL
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