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General NPI Number Information
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NPI Number | 1588220305
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Entity Type | Individual
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Provider Name | ADELE ACKERT
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Gender | Female
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Dates
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Enumeration Date | 05/16/2019
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 1560 WALL ST STE 204
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City | NAPERVILLE
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State | IL
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Zip | 60563-1146
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Country | US
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Telephone | 630-491-9749
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Fax |
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Provider Business Mailing Address
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Address Line | 2214 ARDEN PL
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City | JOLIET
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State | IL
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Zip | 60435-5402
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Country | US
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Telephone | 815-213-0592
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 149.021161
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License Number State | IL
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