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General NPI Number Information
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NPI Number | 1598982621
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Entity Type | Individual
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Provider Name | RADMILA ILIC ABRAM LCPC
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 28379 DAVIS PKWY SUITE 201
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City | WARRENVILLE
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State | IL
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Zip | 60555-3032
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Country | US
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Telephone | 847-917-3741
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 95558
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60195-0558
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Country | US
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Telephone | 847-917-3741
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.005973
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License Number State | IL
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