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General NPI Number Information
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NPI Number | 1255668117
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Entity Type | Organization
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Legal Business Name | REM GROUP FAMILY & ASSOCIATES LTD
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Dates
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Enumeration Date | 11/12/2009
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Last Update Date | 04/29/2010
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Provider Practice Location Address
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Address Line | 3330 DUNDEE RD N 3
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City | NORTHBROOK
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State | IL
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Zip | 60062-2318
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Country | US
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Telephone | 847-274-5104
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Fax | 847-808-7191
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Provider Business Mailing Address
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Address Line | 3330 DUNDEE RD N 3
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City | NORTHBROOK
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State | IL
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Zip | 60062-2318
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Country | US
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Telephone | 847-274-5104
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Fax | 847-808-7191
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL OSTROWER
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Credential | MSW
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Telephone | 847-274-5104
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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 | 149002915
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License Number State | IL
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