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General NPI Number Information
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NPI Number | 1124772116
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Entity Type | Organization
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Legal Business Name | NORTH SHORE PSYCH SOLUTIONS INC
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | 4711 GOLF RD STE 400
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City | SKOKIE
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State | IL
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Zip | 60076-1242
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Country | US
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Telephone | 312-783-3348
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Fax | 847-679-8340
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Provider Business Mailing Address
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Address Line | 4711 GOLF RD STE 400
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City | SKOKIE
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State | IL
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Zip | 60076-1242
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Country | US
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Telephone | 312-783-3348
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Fax | 847-679-8340
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Authorized Official
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Title or Position | OWNER
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Name | SARAH REES RILEY
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Credential | PSYCHOLOGIST
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Telephone | 312-783-3348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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