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General NPI Number Information
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NPI Number | 1255257325
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Entity Type | Organization
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Legal Business Name | FAMILY IMPACT INSTITUTE
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 9422 TRILLIUM LN
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City | ORLAND PARK
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State | IL
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Zip | 60487-1002
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Country | US
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Telephone | 708-740-0264
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Fax |
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Provider Business Mailing Address
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Address Line | 9422 TRILLIUM LN
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City | ORLAND PARK
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State | IL
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Zip | 60487-1002
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Country | US
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Telephone | 708-740-0264
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANYELLE SWAYNE
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Credential |
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Telephone | 708-740-0264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 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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