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General NPI Number Information
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NPI Number | 1609095611
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Entity Type | Organization
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Legal Business Name | COMMUNITY SERVICE OPTIONS, INC.
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7575 S KOSTNER AVE
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City | CHICAGO
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State | IL
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Zip | 60652-1151
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Country | US
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Telephone | 773-884-1000
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Fax | 773-838-9263
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Provider Business Mailing Address
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Address Line | 7575 S KOSTNER AVE
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City | CHICAGO
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State | IL
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Zip | 60652-1151
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Country | US
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Telephone | 773-884-1000
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Fax | 773-838-9263
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Authorized Official
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Title or Position | COMPTROLLER
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Name | MRS. MICHELLE ROYSTER
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Credential | MBA
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Telephone | 773-838-4613
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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 |
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License Number State |
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