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General NPI Number Information
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NPI Number | 1700605565
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Entity Type | Organization
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Legal Business Name | E&O THERAPEUTIC SERVICES PLLC
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 12/22/2024
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Provider Practice Location Address
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Address Line | 6475 WASHINGTON ST STE 102
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City | GURNEE
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State | IL
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Zip | 60031-4404
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Country | US
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Telephone | 847-250-7406
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Fax |
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Provider Business Mailing Address
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Address Line | 6475 WASHINGTON ST STE 102
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City | GURNEE
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State | IL
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Zip | 60031-4404
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Country | US
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Telephone | 847-250-7406
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/SOCIAL WORKER
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Name | DR. MARIA E. ESCOBAR
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Credential | DSW,LCSW,CDVP, NPT-C
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Telephone | 847-250-7406
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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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