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General NPI Number Information
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NPI Number | 1811445737
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Entity Type | Organization
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Legal Business Name | WINDY CITY THERAPY LLC
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Dates
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Enumeration Date | 09/20/2016
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Last Update Date | 09/20/2016
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Provider Practice Location Address
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Address Line | 30 N MICHIGAN AVE SUITE 1207
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City | CHICAGO
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State | IL
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Zip | 60602-3402
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Country | US
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Telephone | 773-234-9802
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Fax |
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Provider Business Mailing Address
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Address Line | 30 N MICHIGAN AVE SUITE 1207
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City | CHICAGO
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State | IL
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Zip | 60602-3402
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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 | OWNER/THERAPIST
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Name | MICHELLE STEIN
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Credential |
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Telephone | 773-234-9802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 180007351
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License Number State | IL
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