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General NPI Number Information
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NPI Number | 1801754569
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Entity Type | Individual
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Provider Name | TRACEY A. PAPESH LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 16W285 83RD ST UNIT A
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City | BURR RIDGE
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State | IL
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Zip | 60527-5873
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Country | US
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Telephone | 630-366-9966
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Fax | 630-358-6893
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Provider Business Mailing Address
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Address Line | 16W285 83RD ST UNIT A
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City | BURR RIDGE
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State | IL
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Zip | 60527-5873
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Country | US
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Telephone | 630-366-9966
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Fax | 630-358-6893
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 149.030616
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License Number State | IL
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