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General NPI Number Information
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NPI Number | 1164553566
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL CONSULTATIONS, INC.
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 08/16/2013
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Provider Practice Location Address
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Address Line | 745 S 8TH ST
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City | WEST DUNDEE
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State | IL
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Zip | 60118-2108
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Country | US
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Telephone | 800-428-7260
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Fax | 847-428-7269
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Provider Business Mailing Address
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Address Line | 745 S 8TH ST SUITE 100
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City | WEST DUNDEE
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State | IL
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Zip | 60118-2108
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Country | US
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Telephone | 800-428-7260
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Fax | 847-428-7269
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. DOUGLAS J MILLIMAN
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Credential |
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Telephone | 800-428-7260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | A01600006A
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | A01600006A
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License Number State | IL
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