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General NPI Number Information
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NPI Number | 1225841935
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Entity Type | Organization
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Legal Business Name | WILLOW KRAFCIK PSYCHOTHERAPY AND CONSULTING PLLC
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 2123 W BERWYN AVE APT 1N
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City | CHICAGO
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State | IL
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Zip | 60625-1140
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Country | US
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Telephone | 312-857-8020
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Fax |
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Provider Business Mailing Address
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Address Line | 2123 W BERWYN AVE APT 1N
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City | CHICAGO
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State | IL
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Zip | 60625-1140
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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 | FOUNDER
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Name | ELIZABETH KRAFCIK
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Credential |
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Telephone | 312-857-8020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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