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General NPI Number Information
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NPI Number | 1235530304
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Entity Type | Organization
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Legal Business Name | GETTELFINGER THERAPY, LLC
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 09/09/2014
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Provider Practice Location Address
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Address Line | 25 E WASHINGTON ST SUITE 830
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City | CHICAGO
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State | IL
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Zip | 60602-1708
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Country | US
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Telephone | 312-965-8043
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Fax |
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Provider Business Mailing Address
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Address Line | 25 E WASHINGTON ST SUITE 830
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City | CHICAGO
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State | IL
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Zip | 60602-1708
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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/THERAPIST
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Name | KATHLEEN GETTELFINGER
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Credential |
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Telephone | 312-965-8043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 166.000935
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License Number State | IL
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