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General NPI Number Information
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NPI Number | 1831362227
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Entity Type | Organization
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Legal Business Name | GREATER CHICAGO GROUP PSYCHOTHERAPY, INC.
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 54 FALCON PLACE
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City | WESTMONT
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State | IL
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Zip | 60559
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Country | US
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Telephone | 734-883-3786
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Fax |
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Provider Business Mailing Address
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Address Line | 54 FALCON PLACE
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City | WESTMONT
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State | IL
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Zip | 60559
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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
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Name | DR. OMER ABID
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Credential |
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Telephone | 734-883-3786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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