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General NPI Number Information
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NPI Number | 1700627288
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Entity Type | Organization
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Legal Business Name | WILLS THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 340 W BUTTERFIELD RD
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City | ELMHURST
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State | IL
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Zip | 60126-5069
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Country | US
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Telephone | 708-722-6117
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1967
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City | OAK PARK
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State | IL
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Zip | 60304-0607
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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 | OWNER
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Name | MRS. ALEXANDRA M WILLS
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Credential | LCPC
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Telephone | 708-722-6117
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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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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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