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General NPI Number Information
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NPI Number | 1245853308
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Entity Type | Organization
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Legal Business Name | AUGUST J CWIK PSY D LTD
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Dates
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Enumeration Date | 05/24/2020
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Last Update Date | 05/24/2020
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Provider Practice Location Address
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Address Line | 30 N MICHIGAN AVE STE 1900
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City | CHICAGO
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State | IL
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Zip | 60602-3624
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Country | US
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Telephone | 312-346-6638
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Fax | 773-857-7041
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Provider Business Mailing Address
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Address Line | 2800 N LAKE SHORE DR APT 3017
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City | CHICAGO
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State | IL
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Zip | 60657-6275
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Country | US
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Telephone | 847-502-6308
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Fax | 773-857-7041
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | DR. AUGUST J CWIK
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Credential | PSY.D.
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Telephone | 847-502-6308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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