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General NPI Number Information
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NPI Number | 1598423790
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Entity Type | Organization
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Legal Business Name | ESSENCE PSYCHOLOGY, PLLC
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Dates
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Enumeration Date | 12/04/2021
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Last Update Date | 12/04/2021
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Provider Practice Location Address
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Address Line | 1 E SUPERIOR ST STE 500
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City | CHICAGO
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State | IL
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Zip | 60611-2507
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Country | US
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Telephone | 708-622-5954
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Fax |
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Provider Business Mailing Address
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Address Line | 720 W SHERIDAN RD APT 3S
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City | CHICAGO
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State | IL
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Zip | 60613-3252
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Country | US
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Telephone | 708-622-5954
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST/OWNER
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Name | HONGYING CHEN
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Credential | PHD
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Telephone | 708-622-5954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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