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General NPI Number Information
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NPI Number | 1346052040
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Entity Type | Organization
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Legal Business Name | PLANTZ PSYCHOTHERAPY PLLC
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 7736 N SHERIDAN RD
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City | CHICAGO
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State | IL
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Zip | 60626-7235
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Country | US
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Telephone | 847-859-9736
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Fax |
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Provider Business Mailing Address
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Address Line | 7736 N SHERIDAN RD APT 1
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City | CHICAGO
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State | IL
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Zip | 60626-7235
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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 | OWNER/PSYCHOTHERAPIST
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Name | ASHLEY PLANTZ
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Credential | LCSW
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Telephone | 847-859-9736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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