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General NPI Number Information
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NPI Number | 1356031363
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Entity Type | Organization
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Legal Business Name | EMOTIONAL INTELLIGENCE INC.
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Dates
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Enumeration Date | 05/11/2023
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 2624 N 77TH CT
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City | ELMWOOD PARK
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State | IL
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Zip | 60707-1801
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Country | US
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Telephone | 773-991-6187
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Fax | 855-222-5962
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Provider Business Mailing Address
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Address Line | P.O. BOX 35309
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City | ELMWOOD PARK
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State | IL
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Zip | 60707
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Country | US
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Telephone | 773-991-6187
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Fax | 855-222-5962
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Authorized Official
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Title or Position | CEO/OWNER
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Name | TRACY L COOPER
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Credential | MSW, LCSW, EI-I/ECMH
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Telephone | 773-991-6187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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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 | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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