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General NPI Number Information
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NPI Number | 1669348736
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Entity Type | Individual
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Provider Name | MEGAN-ELIZABETH A MAYBELL
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Gender | Female
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 450 E 22ND ST STE 152
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City | LOMBARD
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State | IL
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Zip | 60148-6175
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Country | US
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Telephone | 773-676-6364
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Fax |
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Provider Business Mailing Address
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Address Line | 10924 S ARTESIAN AVE APT 1
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City | CHICAGO
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State | IL
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Zip | 60655-1232
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Country | US
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Telephone | 773-676-6364
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 150.115057
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License Number State | IL
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