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General NPI Number Information
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NPI Number | 1801267471
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Entity Type | Organization
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Legal Business Name | LITTLE HILL PSYCHOLOGY CLINIC, INC.
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Dates
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Enumeration Date | 10/08/2015
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Last Update Date | 05/24/2023
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Provider Practice Location Address
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Address Line | 1550 N NORTHWEST HWY STE 108E
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City | PARK RIDGE
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State | IL
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Zip | 60068-1458
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Country | US
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Telephone | 773-727-6982
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Fax | 847-983-0004
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Provider Business Mailing Address
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Address Line | 8120 W DAVIS ST
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City | NILES
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State | IL
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Zip | 60714-1508
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Country | US
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Telephone | 773-727-6982
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL PSYCHOLOGIST
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Name | DR. MATEUSZ STANISLAW BARCZYK
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Credential | PSY.D.
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Telephone | 773-727-6982
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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 | 071008713
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License Number State | IL
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