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General NPI Number Information
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NPI Number | 1811260243
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Entity Type | Organization
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Legal Business Name | INSIGHT PSYCHOLOGICAL CENTERS
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Dates
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Enumeration Date | 02/15/2012
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Last Update Date | 02/15/2012
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Provider Practice Location Address
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Address Line | 333 N MICHIGAN AVE 19TH FLOOR
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City | CHICAGO
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State | IL
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Zip | 60601-3901
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Country | US
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Telephone | 773-321-2755
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Fax |
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Provider Business Mailing Address
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Address Line | 333 N MICHIGAN AVE 19TH FLOOR
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City | CHICAGO
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State | IL
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Zip | 60601-3901
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Country | US
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Telephone | 773-321-2755
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Fax |
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Authorized Official
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Title or Position | REGISTERED DIETITIAN
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Name | MISS ERIKA SIESENNOP
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Credential | RD, LDN
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Telephone | 773-241-1747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State | IL
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