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General NPI Number Information
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NPI Number | 1669318812
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Entity Type | Individual
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Provider Name | HEATHER SHAVER
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Gender | Female
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 1724 1ST ST
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-3202
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Country | US
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Telephone | 847-433-1303
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Fax |
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Provider Business Mailing Address
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Address Line | 18175 W TWIN LAKES BLVD
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City | GRAYSLAKE
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State | IL
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Zip | 60030-2044
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Country | US
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Telephone | 847-201-7066
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180016089
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License Number State | IL
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