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General NPI Number Information
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NPI Number | 1487478608
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Entity Type | Individual
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Provider Name | ANN MARIE SCHOENBECK
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Gender | Female
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 4201 N DAMEN AVE
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City | CHICAGO
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State | IL
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Zip | 60618-3021
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Country | US
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Telephone | 847-530-6364
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Fax |
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Provider Business Mailing Address
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Address Line | 215 N PINE AVE
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-6149
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Country | US
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Telephone | 847-767-3016
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 178020900
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License Number State | IL
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