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General NPI Number Information
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NPI Number | 1164234779
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Entity Type | Individual
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Provider Name | CHLOE B SHEEHAN NP, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 2700 PATRIOT BLVD STE 250
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City | GLENVIEW
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State | IL
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Zip | 60026-8021
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Country | US
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Telephone | 847-629-4696
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Fax |
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Provider Business Mailing Address
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Address Line | 638 S OAKLAND AVE
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City | VILLA PARK
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State | IL
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Zip | 60181-3076
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Country | US
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Telephone | 630-956-4176
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209.030910
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License Number State | IL
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