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General NPI Number Information
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NPI Number | 1316239429
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Entity Type | Individual
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Provider Name | CHRISTINE MARIE CREIGHTON MS, LPC, ATR
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Gender | Female
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Dates
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Enumeration Date | 05/07/2011
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Last Update Date | 08/12/2015
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Provider Practice Location Address
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Address Line | 3504 COMMERCIAL AVE
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City | NORTHBROOK
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State | IL
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Zip | 60062-1821
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Country | US
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Telephone | 847-272-5111
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Fax |
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Provider Business Mailing Address
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Address Line | 10062 HOLLY LN APT 2N
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City | DES PLAINES
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State | IL
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Zip | 60016-1462
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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 |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178009096
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2413 - 226
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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