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General NPI Number Information
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NPI Number | 1285420471
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Entity Type | Organization
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Legal Business Name | AFFIRM BEHAVIORAL HEALTH, PLLC
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 5120 MAIN ST STE 105
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-4656
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Country | US
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Telephone | 708-990-1174
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Fax |
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Provider Business Mailing Address
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Address Line | 10340 S KEATING AVE APT 103
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City | OAK LAWN
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State | IL
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Zip | 60453-4766
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Country | US
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Telephone | 708-990-1174
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINE H STRYJEWSKI
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Credential | MBA, MSW, LCSW, CADC
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Telephone | 708-990-1174
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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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