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General NPI Number Information
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NPI Number | 1417852419
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Entity Type | Organization
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Legal Business Name | KAMILA SMYK PSYCHOTHERAPY, PLLC
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 222 S PROSPECT AVE # 315
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City | PARK RIDGE
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State | IL
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Zip | 60068-4037
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Country | US
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Telephone | 708-856-7343
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Fax |
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Provider Business Mailing Address
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Address Line | 1928 N SAYRE AVE
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City | CHICAGO
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State | IL
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Zip | 60707-3838
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Country | US
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Telephone | 708-856-7343
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAMILA SMYK-JAWORSKI
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Credential | PSY.D.
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Telephone | 708-856-7343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | NULL
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