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General NPI Number Information
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NPI Number | 1710179288
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Entity Type | Organization
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Legal Business Name | THOMAS J CAHILL PHD PC
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 12/13/2018
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Provider Practice Location Address
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Address Line | 1325 COMMUNITY MEMORIAL DR
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City | LA GRANGE
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State | IL
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Zip | 60525-2659
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Country | US
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Telephone | 708-245-8940
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Fax | 708-245-5604
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Provider Business Mailing Address
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Address Line | 1325 COMMUNITY MEMORIAL DR
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City | LA GRANGE
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State | IL
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Zip | 60525-2659
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Country | US
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Telephone | 708-245-8940
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Fax | 708-245-5604
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Authorized Official
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Title or Position | PRES.PSYCHOLOGIST
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Name | THOMAS J CAHILL
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Credential | PHD
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Telephone | 708-245-8940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 0712048
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0712048
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License Number State | IL
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