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General NPI Number Information
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NPI Number | 1326973033
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Entity Type | Organization
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Legal Business Name | ALTI
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 15601 CICERO AVE STE 104
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City | OAK FOREST
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State | IL
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Zip | 60452-3636
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Country | US
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Telephone | 708-625-7523
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Fax |
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Provider Business Mailing Address
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Address Line | 240 E WOODLAWN RD
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City | NEW LENOX
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State | IL
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Zip | 60451-2288
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Country | US
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Telephone | 708-625-7523
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JACOB MULTACK
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Credential | LPC
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Telephone | 708-625-7523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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