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General NPI Number Information
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NPI Number | 1750098463
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Entity Type | Organization
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Legal Business Name | GENEVA THERAPY AND WELLNESS, PLLC
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Dates
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Enumeration Date | 11/02/2022
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 515 HAMILTON ST STE 200
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City | GENEVA
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State | IL
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Zip | 60134-2138
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Country | US
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Telephone | 312-399-5077
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Fax |
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Provider Business Mailing Address
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Address Line | 515 HAMILTON ST STE 200
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City | GENEVA
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State | IL
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Zip | 60134-2138
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Country | US
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Telephone | 312-399-5077
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIANNE BENEDEK
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Credential | DSW, LCSW
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Telephone | 312-399-5077
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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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