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General NPI Number Information
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NPI Number | 1306399969
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Entity Type | Organization
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Legal Business Name | HILARY G SKILBECK-HARVEY
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Dates
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Enumeration Date | 08/01/2016
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Last Update Date | 08/01/2016
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Provider Practice Location Address
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Address Line | 5225 OLD ORCHARD RD SUITE 26A
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City | SKOKIE
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State | IL
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Zip | 60077-4405
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Country | US
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Telephone | 773-425-3845
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Fax |
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Provider Business Mailing Address
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Address Line | 1013 OAKTON ST
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City | EVANSTON
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State | IL
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Zip | 60202-2712
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Country | US
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Telephone | 773-793-2723
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | MS. HILARY SKILBECK-HARVEY
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Credential | LCSW
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Telephone | 773-793-2723
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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 | 149011493
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License Number State | IL
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