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General NPI Number Information
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NPI Number | 1639980469
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Entity Type | Individual
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Provider Name | JORDAN LYNN WINECKI LCSW MSW
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Gender | Female
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 4209 W SHAMROCK LN UNIT C
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City | MCHENRY
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State | IL
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Zip | 60050-8700
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Country | US
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Telephone | 815-344-9443
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Fax |
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Provider Business Mailing Address
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Address Line | 325 OAK CREEK DR APT 105
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City | WHEELING
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State | IL
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Zip | 60090-6735
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Country | US
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Telephone | 224-518-5610
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150.108663
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License Number State | IL
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