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General NPI Number Information
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NPI Number | 1679467765
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Entity Type | Organization
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Legal Business Name | HIGGINS HEALTH LLC
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 53 W JACKSON BLVD STE 1522
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City | CHICAGO
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State | IL
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Zip | 60604-3761
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Country | US
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Telephone | 630-301-8648
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Fax |
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Provider Business Mailing Address
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Address Line | 702 MILLS ST
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City | HINSDALE
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State | IL
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Zip | 60521-2433
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Country | US
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Telephone | 630-301-8648
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MR. RYAN HIGGINS
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Credential |
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Telephone | 630-301-8648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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