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General NPI Number Information
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NPI Number | 1437676400
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Entity Type | Organization
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Legal Business Name | CONNIE CARES FOR KIDS-ADHD AND LEARNING DISABILITIES, LLC
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Dates
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Enumeration Date | 08/29/2017
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 4580 WEAVER PKWY STE 102
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City | WARRENVILLE
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State | IL
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Zip | 60555-3864
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Country | US
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Telephone | 630-473-3970
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Fax | 630-994-5028
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Provider Business Mailing Address
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Address Line | 3268 MILLRACE LANE
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City | MONTGOMERY
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State | IL
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Zip | 60538
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Country | US
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Telephone | 630-363-9368
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER, OWNER
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Name | MRS. CONNIE LEE PARR
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Credential | APN CPNP
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Telephone | 630-363-9368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209000942
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License Number State | IL
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