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NPI 1326103193

NPI 1326103193 : PATHWAYS CENTER : GLENVIEW, IL

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General NPI Number Information
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    NPI Number           |    1326103193
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    Entity Type          |    Organization 
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    Legal Business Name  |    PATHWAYS CENTER 
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Dates
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    Enumeration Date     |    12/22/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    2591 COMPASS RD SUITE 100
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    City                 |    GLENVIEW
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    State                |    IL
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    Zip                  |    60026-8043
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    Country              |    US
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    Telephone            |    847-729-6220
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    Fax                  |    847-729-1116
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Provider Business Mailing Address
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    Address Line         |    2591 COMPASS RD SUITE 100
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    City                 |    GLENVIEW
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    State                |    IL
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    Zip                  |    60026-8043
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    Country              |    US
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    Telephone            |    847-729-6220
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    Fax                  |    847-729-1116
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Authorized Official
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    Title or Position    |    BUSINESS MANAGER
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    Name                 |    MRS. DAWN  MOORE 
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    Credential           |    
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    Telephone            |    847-510-5625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251P0200X
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    Taxonomy Name        |    Pediatric Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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