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General NPI Number Information
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NPI Number | 1245743657
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Entity Type | Organization
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Legal Business Name | FAMILY FOCUS INC.
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 6727 S WESTERN AVE
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City | CHICAGO
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State | IL
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Zip | 60636-2414
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Country | US
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Telephone | 773-962-0366
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Fax | 773-962-0966
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Provider Business Mailing Address
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Address Line | 310 S PEORIA ST STE 301
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City | CHICAGO
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State | IL
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Zip | 60607-3534
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Country | US
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Telephone | 773-540-1005
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Fax | 312-421-8185
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Authorized Official
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Title or Position | VICE PRESIDENT OF CENTERS
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Name | MS. LORETTA A. ESPEUT
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Credential | MPA
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Telephone | 773-962-0366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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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 #6
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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Taxonomy #7
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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Taxonomy #8
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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