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General NPI Number Information
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NPI Number | 1205350642
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Entity Type | Individual
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Provider Name | IZABELA LOMNICKI MA, LCPC
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Gender | Female
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Dates
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Enumeration Date | 07/27/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1010 JORIE BLVD
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City | OAK BROOK
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State | IL
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Zip | 60523-2215
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Country | US
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Telephone | 630-368-9100
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Fax | 630-990-0506
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Provider Business Mailing Address
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Address Line | 1717 N NAPER BLVD STE 200
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City | NAPERVILLE
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State | IL
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Zip | 60563-8838
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Country | US
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Telephone | 630-863-1688
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 178010108
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180010714
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License Number State | IL
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