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General NPI Number Information
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NPI Number | 1780487579
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Entity Type | Organization
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Legal Business Name | THE THRESHOLDS
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 202 N SCHUYLER AVE STE 201
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City | KANKAKEE
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State | IL
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Zip | 60901-3866
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Country | US
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Telephone | 773-572-5500
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Fax | 773-572-5240
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Provider Business Mailing Address
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Address Line | 4101 N RAVENSWOOD AVE
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City | CHICAGO
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State | IL
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Zip | 60613-2193
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Country | US
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Telephone | 773-572-5500
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Fax | 773-572-5240
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Authorized Official
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Title or Position | EXECUTIVE ASSISTANT
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Name | MARCELLA KLAUER
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Credential |
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Telephone | 773-572-5480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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