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General NPI Number Information
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NPI Number | 1578442026
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Entity Type | Individual
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Provider Name | KAYLA HUBER PH.D.
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Gender |
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 2805 BUTTERFIELD RD STE 120
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City | OAK BROOK
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State | IL
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Zip | 60523-1188
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Country | US
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Telephone | 630-522-3124
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Fax |
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Provider Business Mailing Address
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Address Line | 712 N AUSTIN BLVD APT 3W
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City | OAK PARK
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State | IL
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Zip | 60302-2485
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 071.022333
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License Number State | IL
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