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General NPI Number Information
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NPI Number | 1699662825
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Entity Type | Organization
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Legal Business Name | THE JOSSELYN CENTER NFP
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 777 CENTRAL AVE STE 101
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-3240
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Country | US
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Telephone | 847-441-5600
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Fax | 847-441-7968
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Provider Business Mailing Address
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Address Line | 1135 SKOKIE BLVD
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City | NORTHBROOK
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State | IL
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Zip | 60062-4118
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Country | US
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Telephone | 847-441-5600
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Fax | 847-441-7968
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Authorized Official
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Title or Position | DIRECTOR
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Name | MICHAEL SCHOLL
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Credential |
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Telephone | 847-441-7521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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