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General NPI Number Information
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NPI Number | 1154565877
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Entity Type | Individual
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Provider Name | NICOLE M SPRINGER-IANNANTUONI PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 04/24/2009
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 29 S WEBSTER ST STE 210C
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City | NAPERVILLE
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State | IL
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Zip | 60540-5678
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Country | US
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Telephone | 630-635-0406
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Fax |
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Provider Business Mailing Address
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Address Line | 2272 95TH ST STE 125
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City | NAPERVILLE
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State | IL
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Zip | 60564-8982
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Country | US
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Telephone | 630-409-9700
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Fax | 630-409-9444
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 071.005993
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License Number State | IL
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