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General NPI Number Information
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NPI Number | 1679548093
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Entity Type | Organization
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Legal Business Name | FAMILY LIFE COUNSELORS
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Dates
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Enumeration Date | 02/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7200 N OSCEOLA AVE
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City | CHICAGO
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State | IL
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Zip | 60631-4353
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Country | US
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Telephone | 773-763-4999
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Fax | 773-763-0449
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Provider Business Mailing Address
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Address Line | 7200 N OSCEOLA AVE
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City | CHICAGO
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State | IL
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Zip | 60631-4353
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Country | US
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Telephone | 773-763-4999
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Fax | 773-763-0449
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. SUSAN C BORRELLI
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Credential | LCPC, LMFT
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Telephone | 773-763-4999
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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 |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | IL
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