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General NPI Number Information
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NPI Number | 1568327864
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Entity Type | Individual
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Provider Name | LAILA REESE
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Gender | Female
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 6500 N LINCOLN AVE
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-3923
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Country | US
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Telephone | 630-465-3963
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Fax |
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Provider Business Mailing Address
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Address Line | 2647 N 75TH AVE
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City | ELMWOOD PARK
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State | IL
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Zip | 60707-1933
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 1387999
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License Number State | IL
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