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General NPI Number Information
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NPI Number | 1255573127
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Entity Type | Individual
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Provider Name | ANGELA T MICHELINI LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/24/2009
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 3300 KIRCHOFF RD
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City | ROLLING MEADOWS
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State | IL
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Zip | 60008-1824
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Country | US
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Telephone | 847-618-3880
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Fax | 847-618-3889
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Provider Business Mailing Address
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Address Line | 2604 DEMPSTER ST STE 307
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City | PARK RIDGE
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State | IL
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Zip | 60068-8427
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Country | US
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Telephone | 847-544-5102
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 149.010089
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License Number State | IL
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