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General NPI Number Information
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NPI Number | 1154280204
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Entity Type | Individual
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Provider Name | JOSEPH MATTHEW AYRES LSW
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Gender | Male
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 150 E HURON ST
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City | CHICAGO
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State | IL
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Zip | 60611-2999
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Country | US
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Telephone | 312-847-5312
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Fax |
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Provider Business Mailing Address
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Address Line | 768 W JACKSON BLVD APT 411
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City | CHICAGO
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State | IL
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Zip | 60661-5459
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150.117330
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License Number State | IL
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