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General NPI Number Information
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NPI Number | 1831131515
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Entity Type | Organization
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Legal Business Name | WEGIEREK PSYCHOLOGY CENTER, INC
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 02/23/2025
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Provider Practice Location Address
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Address Line | 3022 N HARLEM AVE 1 NORTH
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City | CHICAGO
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State | IL
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Zip | 60634-4786
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Country | US
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Telephone | 708-710-8819
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Fax |
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Provider Business Mailing Address
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Address Line | 3022 N HARLEM AVE 1 NORTH
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City | CHICAGO
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State | IL
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Zip | 60634-4786
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Country | US
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Telephone | 708-710-8819
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. ANNA MARIA WEGIEREK-SKORUPA
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Credential | PSYD
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Telephone | 708-710-8819
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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 |
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License Number State | IL
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