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General NPI Number Information
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NPI Number | 1841165396
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Entity Type | Organization
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Legal Business Name | CONTIGO THERAPEUTIC SERVICES, PLLC
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 422 N NORTHWEST HWY STE B2
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City | PARK RIDGE
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State | IL
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Zip | 60068-3272
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Country | US
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Telephone | 773-900-1919
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Fax |
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Provider Business Mailing Address
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Address Line | 1224 N NORTHWEST HWY
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City | PARK RIDGE
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State | IL
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Zip | 60068-1645
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Country | US
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Telephone | 773-900-1919
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CARMEN CONSUELO OLALDE
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Credential | LSW
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Telephone | 773-900-1919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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