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General NPI Number Information
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NPI Number | 1427532035
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Entity Type | Organization
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Legal Business Name | FAMILY GUIDANCE CENTERS, INC.
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Dates
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Enumeration Date | 09/19/2018
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Last Update Date | 01/29/2020
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Provider Practice Location Address
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Address Line | 58 E CLINTON ST
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City | JOLIET
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State | IL
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Zip | 60432-4143
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Country | US
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Telephone | 815-469-3779
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Fax | 815-469-1671
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Provider Business Mailing Address
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Address Line | 2618 PATRIOT BLVD
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City | GLENVIEW
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State | IL
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Zip | 60026-8024
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Country | US
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Telephone | 224-659-7030
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Fax | 224-659-7035
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | BRIAN NOTTAGE
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Credential | MA, LPC, NCC
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Telephone | 312-943-6545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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