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General NPI Number Information
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NPI Number | 1578040887
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Entity Type | Organization
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Legal Business Name | GET THERAPY CHICAGO
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Dates
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Enumeration Date | 07/20/2018
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Last Update Date | 07/20/2018
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Provider Practice Location Address
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Address Line | 1136 S DELANO CT W STE B201
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City | CHICAGO
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State | IL
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Zip | 60605-3734
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Country | US
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Telephone | 312-404-4102
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Fax |
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Provider Business Mailing Address
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Address Line | 5550 N GLENWOOD AVE APT 1W
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City | CHICAGO
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State | IL
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Zip | 60640-1237
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Country | US
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Telephone | 312-404-4102
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MR. NAOISE BRIAN TOBIN
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Credential | L.C.S.W
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Telephone | 312-404-4102
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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 | 149017757
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License Number State | IL
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