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General NPI Number Information
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NPI Number | 1417878141
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Entity Type | Individual
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Provider Name | RHYANN KRUEGAR
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Gender |
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 1021 W ADAMS ST STE 200
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City | CHICAGO
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State | IL
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Zip | 60607-2936
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Country | US
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Telephone | 773-466-1555
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Fax |
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Provider Business Mailing Address
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Address Line | 548 W BRIAR PL
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City | CHICAGO
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State | IL
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Zip | 60657-1981
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 25-468146
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License Number State | IL
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