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General NPI Number Information
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NPI Number | 1528941945
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Entity Type | Organization
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Legal Business Name | RIVERBANKS THERAPY PLLC
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 1748 N KIMBALL AVE STE 206
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City | CHICAGO
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State | IL
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Zip | 60647-4806
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Country | US
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Telephone | 773-234-8074
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Fax |
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Provider Business Mailing Address
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Address Line | 640 N HARVEY AVE
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City | OAK PARK
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State | IL
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Zip | 60302-1740
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Country | US
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Telephone | 773-230-4927
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIA RIVERS
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Credential | LCSW
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Telephone | 773-230-4927
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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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