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General NPI Number Information
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NPI Number | 1245036474
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Entity Type | Organization
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Legal Business Name | JENNIFER POLIZZI LCSW LLC
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 800 ROOSEVELT RD STE E220
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City | GLEN ELLYN
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State | IL
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Zip | 60137-5868
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Country | US
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Telephone | 847-331-7945
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Fax |
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Provider Business Mailing Address
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Address Line | 5705 N NORTHCOTT AVE
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City | CHICAGO
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State | IL
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Zip | 60631-3104
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Country | US
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Telephone | 847-331-7945
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Fax |
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Authorized Official
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Title or Position | OWNER AND CLINICAL THERAPIST
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Name | JENNIFER L POLIZZI
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Credential | LCSW
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Telephone | 773-645-1211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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