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General NPI Number Information
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NPI Number | 1427902469
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Entity Type | Organization
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Legal Business Name | FREEDOM INTERNATIONAL OUTREACH MINISTRIES, INC.
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 210 S. CICERO AVE
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City | CHICAGO
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State | IL
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Zip | 60644
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Country | US
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Telephone | 773-746-2016
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 223
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City | PARK FOREST
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State | IL
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Zip | 60466-0223
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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 | PROGRAM DIRECTOR
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Name | MR. COREY ROLLING
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Credential | LSW
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Telephone | 773-746-2016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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