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General NPI Number Information
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NPI Number | 1679157945
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Entity Type | Individual
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Provider Name | KATARZYNA ZAK LCSW, CADC
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Gender | Female
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 155 N MICHIGAN AVE # 308
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City | CHICAGO
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State | IL
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Zip | 60601-7511
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Country | US
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Telephone | 773-340-2616
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Fax |
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Provider Business Mailing Address
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Address Line | 792 EDELWEISS DR
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City | LAKE ZURICH
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State | IL
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Zip | 60047-2493
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Country | US
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Telephone | 773-981-5822
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 33927
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.021736
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License Number State | IL
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