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General NPI Number Information
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NPI Number | 1134799885
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Entity Type | Organization
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Legal Business Name | MILICA POPOVIC, LCSW, CADC, PLLC
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Dates
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Enumeration Date | 06/25/2021
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 2954 W IRVING PARK RD
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City | CHICAGO
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State | IL
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Zip | 60618-3570
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Country | US
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Telephone | 773-817-2999
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Fax |
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Provider Business Mailing Address
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Address Line | 2954 W IRVING PARK RD APT 3F
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City | CHICAGO
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State | IL
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Zip | 60618-3508
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Country | US
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Telephone | 773-817-6299
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MILICA POPOVIC
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Credential | LCSW
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Telephone | 773-817-6299
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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 |
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License Number State |
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