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General NPI Number Information
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NPI Number | 1780108720
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Entity Type | Individual
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Provider Name | MONICA MARIE SULLIVAN LCPC
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Gender | Female
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 1331 W 75TH ST STE 202
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City | NAPERVILLE
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State | IL
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Zip | 60540-9311
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Country | US
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Telephone | 630-305-3025
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Fax | 630-904-7378
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Provider Business Mailing Address
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Address Line | 2650 RIDGE AVE STE 1223
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City | EVANSTON
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State | IL
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Zip | 60201-1700
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Country | US
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Telephone | 847-570-2040
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Fax | 847-570-5315
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 180016430
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180016430
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License Number State | IL
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