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General NPI Number Information
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NPI Number | 1427797471
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Entity Type | Individual
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Provider Name | ROSS MONDSCHAIN MA
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Gender | Male
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Dates
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Enumeration Date | 05/28/2022
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 939 W NORTH AVE
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City | CHICAGO
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State | IL
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Zip | 60642-7138
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Country | US
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Telephone | 312-779-6131
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Fax |
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Provider Business Mailing Address
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Address Line | 3660 N LAKE SHORE DR APT 4608
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City | CHICAGO
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State | IL
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Zip | 60613-5320
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Country | US
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Telephone | 312-451-3232
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.016715
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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