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General NPI Number Information
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NPI Number | 1205727583
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Entity Type | Organization
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Legal Business Name | ALLEGRA PSYCHIATRIC CARE
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 1315 MACOM DR STE 207
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City | NAPERVILLE
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State | IL
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Zip | 60564-9361
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Country | US
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Telephone | 630-360-2336
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Fax |
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Provider Business Mailing Address
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Address Line | 205 N MICHIGAN AVE STE 810
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City | CHICAGO
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State | IL
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Zip | 60601-5902
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALLEGRA R CONNORS
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Credential | APRN
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Telephone | 630-360-2336
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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 |
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License Number State |
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