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General NPI Number Information
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NPI Number | 1447102843
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Entity Type | Organization
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Legal Business Name | CRADLE SOCIETY
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 2049 RIDGE AVE
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City | EVANSTON
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State | IL
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Zip | 60201-2713
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Country | US
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Telephone | 847-475-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 2049 RIDGE AVE
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City | EVANSTON
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State | IL
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Zip | 60201-2713
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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 | DIRECTOR OF OPERATIONS & GOVERNANCE
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Name | DONNA MARIA MAJESKE
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Credential |
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Telephone | 847-733-2345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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