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General NPI Number Information
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NPI Number | 1609907625
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Entity Type | Organization
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Legal Business Name | MAUREEN STRESS PH.D., P.C.
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1416 W IRVING PARK RD #3W
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City | CHICAGO
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State | IL
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Zip | 60613-4825
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Country | US
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Telephone | 773-706-0940
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Fax | 773-935-5885
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Provider Business Mailing Address
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Address Line | 1416 W IRVING PARK RD #3W
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City | CHICAGO
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State | IL
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Zip | 60613-4825
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Country | US
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Telephone | 773-706-0940
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Fax | 773-935-5885
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MAUREEN STRESS AQUINO
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Credential | PH.D.
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Telephone | 773-706-0940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State | IL
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