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General NPI Number Information
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NPI Number | 1356207492
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Entity Type | Organization
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Legal Business Name | TULLY CLINIC
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 1821 W BELMONT AVE
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City | CHICAGO
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State | IL
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Zip | 60657-8496
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Country | US
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Telephone | 224-260-5660
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 HULL TER APT 2E
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City | EVANSTON
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State | IL
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Zip | 60202-3256
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Country | US
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Telephone | 773-875-2081
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SEANNA MAUREEN TULLY
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Credential | DACM
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Telephone | 773-875-2081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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