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General NPI Number Information
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NPI Number | 1811437312
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Entity Type | Individual
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Provider Name | LAUREN MCKENNA LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/02/2017
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 150 S WACKER DR STE 2400
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City | CHICAGO
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State | IL
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Zip | 60606-4211
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Country | US
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Telephone | 708-824-8627
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Fax |
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Provider Business Mailing Address
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Address Line | 2103 N HUDSON AVE
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City | CHICAGO
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State | IL
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Zip | 60614-0660
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 166001167
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License Number State | IL
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