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General NPI Number Information
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NPI Number | 1356554364
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Entity Type | Organization
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Legal Business Name | PETER STERNBERG, L.C.S.W., P.C.
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 53 W JACKSON BLVD ROOM 924
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City | CHICAGO
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State | IL
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Zip | 60604-3606
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Country | US
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Telephone | 312-922-6823
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Fax | 847-272-7474
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Provider Business Mailing Address
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Address Line | 2500 WOODLAWN RD
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City | NORTHBROOK
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State | IL
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Zip | 60062-5949
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Country | US
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Telephone | 312-922-6823
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Fax | 847-272-7474
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PETER STERNBERG
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Credential | L.C.S.W.
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Telephone | 312-922-6823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | IL
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