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General NPI Number Information
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NPI Number | 1790634780
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Entity Type | Individual
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Provider Name | TAMMY HEVRDEJS
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Gender | Female
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 777 LAKE ZURICH RD STE 110F
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City | BARRINGTON
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State | IL
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Zip | 60010-3122
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Country | US
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Telephone | 630-209-0923
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1192
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City | BARRINGTON
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State | IL
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Zip | 60011-1192
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Country | US
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Telephone | 630-209-0923
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Fax |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071005295
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License Number State | IL
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