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General NPI Number Information
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NPI Number | 1548074867
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Entity Type | Individual
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Provider Name | AURELIO ESPINO BSW,MSW
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Gender | Male
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 1440 RENAISSANCE DR # 3
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City | PARK RIDGE
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State | IL
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Zip | 60068-1356
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Country | US
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Telephone | 847-759-9110
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Fax | 224-985-2119
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Provider Business Mailing Address
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Address Line | 3740 N HALSTED ST APT 724
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City | CHICAGO
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State | IL
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Zip | 60613-5657
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.028256
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License Number State | IL
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