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NPI 1265357073

NPI 1265357073 : GOLDEN THREAD PSYCHIATRY PLLC : GLEN ELLYN, IL

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General NPI Number Information
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    NPI Number           |    1265357073
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    Entity Type          |    Organization 
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    Legal Business Name  |    GOLDEN THREAD PSYCHIATRY PLLC 
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Dates
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    Enumeration Date     |    08/11/2026
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    Last Update Date     |    08/11/2026
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Provider Practice Location Address
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    Address Line         |    800 ROOSEVELT RD STE E220 
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    City                 |    GLEN ELLYN
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    State                |    IL
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    Zip                  |    60137-5868
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    Country              |    US
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    Telephone            |    815-230-1239
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    800 ROOSEVELT RD STE E220 
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    City                 |    GLEN ELLYN
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    State                |    IL
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    Zip                  |    60137-5868
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MARIE  ZAHORICK 
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    Credential           |    APRN
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    Telephone            |    815-260-1239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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