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General NPI Number Information
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NPI Number | 1205627395
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Entity Type | Organization
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Legal Business Name | LQ HEALTH PLLC
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 1431 OPUS PL STE 110
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1164
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Country | US
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Telephone | 630-542-2249
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Fax | 630-937-9886
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Provider Business Mailing Address
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Address Line | 1431 OPUS PL STE 110
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1164
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Country | US
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Telephone | 630-542-2249
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Fax | 630-937-9886
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Authorized Official
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Title or Position | OWNER
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Name | MR. DOMINIC ANGRES
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Credential | LCPC
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Telephone | 630-542-2249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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