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General NPI Number Information
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NPI Number | 1205049483
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Entity Type | Organization
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Legal Business Name | NEUROPSYCHOLOGICAL ASSOCIATES INC.
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 645 N MICHIGAN AVE SUITE 410
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City | CHICAGO
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State | IL
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Zip | 60611-2826
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Country | US
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Telephone | 312-202-0755
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Fax | 312-202-0750
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Provider Business Mailing Address
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Address Line | 1000 W WASHINGTON BLVD 336
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City | CHICAGO
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State | IL
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Zip | 60607-2137
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Country | US
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Telephone | 312-202-0755
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Fax | 312-202-0750
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT E HANLON
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Credential | PH.D.
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Telephone | 312-202-0755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | IL
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