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General NPI Number Information
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NPI Number | 1699190082
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Entity Type | Organization
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Legal Business Name | ASSOCIATION FOR MULTICULTURAL BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 02/21/2014
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 6650 N NORTHWEST HWY
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City | CHICAGO
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State | IL
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Zip | 60631-1307
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Country | US
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Telephone | 773-392-9103
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Fax |
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Provider Business Mailing Address
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Address Line | 326 ELK BLVD
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City | DES PLAINES
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State | IL
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Zip | 60016-3506
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER/PRINCIPAL
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Name | ANGELIKA DANEK
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Credential |
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Telephone | 773-392-9103
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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 | 22119
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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 | 149014886
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License Number State | IL
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