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General NPI Number Information
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NPI Number | 1649174897
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Entity Type | Organization
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Legal Business Name | THE CHICAGO RECOVERY PROJECT
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 7331 S HONORE ST
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City | CHICAGO
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State | IL
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Zip | 60636-3702
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Country | US
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Telephone | 612-207-9874
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Fax |
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Provider Business Mailing Address
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Address Line | 7331 S HONORE ST
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City | CHICAGO
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State | IL
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Zip | 60636-3702
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Country | US
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Telephone | 612-207-9874
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. LATRICIA SIMONE TATE
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Credential | B.A
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Telephone | 612-207-9874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State | NULL
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