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General NPI Number Information
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NPI Number | 1659743631
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Entity Type | Organization
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Legal Business Name | DREXEL COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 10/29/2015
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Last Update Date | 08/25/2020
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Provider Practice Location Address
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Address Line | 936 E 93RD ST
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City | CHICAGO
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State | IL
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Zip | 60619-7814
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Country | US
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Telephone | 773-731-5395
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Fax | 773-336-5545
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Provider Business Mailing Address
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Address Line | 936 E 93RD ST
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City | CHICAGO
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State | IL
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Zip | 60619-7814
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Country | US
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Telephone | 773-731-5395
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Fax | 773-336-5545
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KATHY HARDIN EARL
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Credential |
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Telephone | 773-731-5395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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