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General NPI Number Information
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NPI Number | 1760517056
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Entity Type | Organization
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Legal Business Name | ILIOULA ZIAMPARAS, PSY.D., LLC
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 12/17/2009
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Provider Practice Location Address
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Address Line | 636 CHURCH ST SUITE 509
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City | EVANSTON
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State | IL
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Zip | 60201-4508
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Country | US
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Telephone | 773-230-3614
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Fax | 847-457-3260
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Provider Business Mailing Address
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Address Line | 636 CHURCH ST SUITE 509
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City | EVANSTON
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State | IL
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Zip | 60201-4508
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Country | US
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Telephone | 773-230-3614
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Fax | 847-457-3260
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. ILIOULA ZIAMPARAS
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Credential | PSY.D.
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Telephone | 773-230-3614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180-005106
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License Number State | IL
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