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General NPI Number Information
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NPI Number | 1457150559
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Entity Type | Organization
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Legal Business Name | MARY DONNER PLLC
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 1608 WEST BELMONT AVE
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City | CHICAGO
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State | IL
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Zip | 60657
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Country | US
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Telephone | 312-890-2008
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Fax |
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Provider Business Mailing Address
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Address Line | 7199 S KINGERY HWY # 1056
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City | WILLOWBROOK
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State | IL
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Zip | 60527-5525
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Country | US
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Telephone | 312-890-2008
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARY DONNER
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Credential | LCSW
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Telephone | 312-890-2008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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