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General NPI Number Information
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NPI Number | 1467806281
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Entity Type | Organization
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Legal Business Name | NORTH STAR COUNSELING INC.
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Dates
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Enumeration Date | 04/18/2016
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 2625 BUTTERFIELD RD SUITE 103W
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City | OAK BROOK
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State | IL
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Zip | 60523-1234
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Country | US
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Telephone | 630-418-5316
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Fax | 630-586-3800
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Provider Business Mailing Address
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Address Line | 738 WILLOW ST
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City | ITASCA
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State | IL
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Zip | 60143-1467
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Country | US
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Telephone | 630-418-5316
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Fax | 630-586-3800
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILIIAM S PIEKARZ
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Credential | LCSW
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Telephone | 630-418-5316
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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 | 149014069
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License Number State | IL
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