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General NPI Number Information
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NPI Number | 1497290613
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Entity Type | Organization
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Legal Business Name | SATYA COUNSELING PLLC
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Dates
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Enumeration Date | 12/23/2016
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 4849 N MILWAUKEE AVE STE 503
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City | CHICAGO
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State | IL
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Zip | 60630-2191
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Country | US
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Telephone | 773-492-0913
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Fax | 708-249-0613
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Provider Business Mailing Address
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Address Line | 5350 W CARMEN AVE APT 2
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City | CHICAGO
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State | IL
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Zip | 60630-2224
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Country | US
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Telephone | 773-492-0913
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Fax | 708-249-0613
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Authorized Official
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Title or Position | OWNER
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Name | NIKKI M JOVICILO
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Credential | LCPC
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Telephone | 773-492-0913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180010117
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License Number State | IL
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