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General NPI Number Information
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NPI Number | 1588416275
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Entity Type | Individual
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Provider Name | ANTHONY JOSEPH CASEY LPC, NCC
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Gender | Male
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Dates
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Enumeration Date | 04/04/2024
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 2551 W PETERSON AVE
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City | CHICAGO
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State | IL
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Zip | 60659-4019
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Country | US
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Telephone | 773-999-1756
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Fax |
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Provider Business Mailing Address
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Address Line | 4603 N RACINE AVE APT 204
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City | CHICAGO
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State | IL
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Zip | 60640-6387
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Country | US
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Telephone | 708-407-4206
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180.016875
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License Number State | IL
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