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General NPI Number Information
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NPI Number | 1780062364
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Entity Type | Organization
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Legal Business Name | CATHY J DRUCKER LCSW PC
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Dates
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Enumeration Date | 05/14/2015
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Last Update Date | 05/14/2015
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Provider Practice Location Address
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Address Line | 16595 W EASTON AVE
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City | LINCOLNSHIRE
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State | IL
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Zip | 60069-2744
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Country | US
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Telephone | 847-331-7292
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Fax |
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Provider Business Mailing Address
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Address Line | 16595 W EASTON AVE
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City | LINCOLNSHIRE
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State | IL
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Zip | 60069-2744
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Country | US
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Telephone | 847-331-7292
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. IRIN J GLAZER
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Credential |
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Telephone | 847-436-5953
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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 | 149017307
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License Number State | IL
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