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General NPI Number Information
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NPI Number | 1386386332
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Entity Type | Organization
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Legal Business Name | DR. MICHAEL ZAKALIK, PLLC
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 04/12/2022
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Provider Practice Location Address
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Address Line | 2027 W DIVISION ST STE 243
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City | CHICAGO
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State | IL
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Zip | 60622-9024
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Country | US
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Telephone | 773-234-1835
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Fax |
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Provider Business Mailing Address
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Address Line | 2027 W DIVISION ST STE 243
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City | CHICAGO
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State | IL
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Zip | 60622-9024
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Country | US
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Telephone | 773-234-1835
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST/OWNER
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Name | DR. MICHAEL ZAKALIK
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Credential | PSYD
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Telephone | 773-234-1835
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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