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General NPI Number Information
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NPI Number | 1336426709
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Entity Type | Organization
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Legal Business Name | COMMUNICATE CHICAGO LLC
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Dates
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Enumeration Date | 11/13/2011
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Last Update Date | 11/13/2011
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Provider Practice Location Address
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Address Line | 1301 W MADISON ST #512
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City | CHICAGO
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State | IL
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Zip | 60607-1936
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Country | US
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Telephone | 312-806-0769
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Fax | 312-577-1706
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Provider Business Mailing Address
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Address Line | 1301 W MADISON ST #512
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City | CHICAGO
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State | IL
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Zip | 60607-1936
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Country | US
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Telephone | 312-806-0769
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Fax | 312-577-1706
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL JOHN NEARY JR.
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Credential | M.S., CCC-SLP
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Telephone | 312-806-0769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 146008947
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146008947
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License Number State | IL
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