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General NPI Number Information
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NPI Number | 1750451753
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Entity Type | Organization
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Legal Business Name | OKEEFE & ASSOCIATES
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5845 NO ST JOHNS CT
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City | CHICAGO
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State | IL
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Zip | 60646-6048
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Country | US
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Telephone | 773-205-7613
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Fax | 773-205-7613
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Provider Business Mailing Address
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Address Line | 5845 NO ST JOHNS CT
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City | CHICAGO
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State | IL
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Zip | 60646-6048
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Country | US
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Telephone | 773-205-7613
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Fax | 773-205-7613
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Authorized Official
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Title or Position | PRESIDENT
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Name | GERALD OKEEFE
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Credential | PHD
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Telephone | 773-205-7613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2549-057
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | IL
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