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General NPI Number Information
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NPI Number | 1558271007
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Entity Type | Organization
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Legal Business Name | SOUL COUNSELING AND REHABILITATION
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 1100 S HAMILTON AVE
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City | CHICAGO
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State | IL
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Zip | 60612-4207
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Country | US
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Telephone | 312-433-7102
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Fax |
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Provider Business Mailing Address
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Address Line | 10922 WAKEFIELD ST
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City | WESTCHESTER
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State | IL
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Zip | 60154-4901
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Country | US
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Telephone | 708-392-7879
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MR. ANDREW MCGREGORY
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Credential |
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Telephone | 708-392-7879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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