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General NPI Number Information
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NPI Number | 1699974493
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Entity Type | Organization
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Legal Business Name | PEGGY FREEMAN, L.C.S.W. SC
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 64 OLD ORCHARD SHOPPING CTR SUITE 435
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City | SKOKIE
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State | IL
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Zip | 60077-1425
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Country | US
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Telephone | 847-677-6740
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Fax | 847-677-8140
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Provider Business Mailing Address
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Address Line | 64 OLD ORCHARD SHOPPING CTR SUITE 435
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City | SKOKIE
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State | IL
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Zip | 60077-1425
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Country | US
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Telephone | 847-677-6740
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Fax | 847-677-8140
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. PEGGY LYNN FREEMAN
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Credential | L.C.S.W.
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Telephone | 847-677-6740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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