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General NPI Number Information
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NPI Number | 1588995922
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Entity Type | Individual
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Provider Name | PATRICIA O'DEA-EVANS R.N.,CCM,PMHNP, LCPC
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Gender | Female
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Dates
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Enumeration Date | 01/25/2010
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 2118 PLUM GROVE RD # 110
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City | ROLLING MEADOWS
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State | IL
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Zip | 60008-1932
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Country | US
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Telephone | 847-373-1712
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Fax | 847-346-1901
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Provider Business Mailing Address
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Address Line | 2118 PLUM GROVE RD # 110
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City | ROLLING MEADOWS
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State | IL
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Zip | 60008-1932
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Country | US
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Telephone | 847-373-1712
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Fax | 847-346-1901
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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 | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180.003449
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 240972
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 041-354355
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 17704-33
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License Number State | WI
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