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General NPI Number Information
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NPI Number | 1629956578
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Entity Type | Individual
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Provider Name | ALLYSON HAYLEY MARCUS LSW
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Gender | Female
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 180 N MICHIGAN AVE STE 1025B
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City | CHICAGO
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State | IL
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Zip | 60601-7999
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Country | US
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Telephone | 847-701-4191
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Fax | 847-834-4981
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Provider Business Mailing Address
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Address Line | 2060 E ALGONQUIN RD STE 702
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City | SCHAUMBURG
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State | IL
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Zip | 60173-4162
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Country | US
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Telephone | 847-701-4191
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Fax | 847-834-4981
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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 | 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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