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General NPI Number Information
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NPI Number | 1851214647
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Entity Type | Organization
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Legal Business Name | MSAADA PSYCHIATRY LLC
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 15507 S ROUTE 59 STE 107E
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City | PLAINFIELD
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State | IL
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Zip | 60544-2723
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Country | US
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Telephone | 708-773-6957
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Fax |
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Provider Business Mailing Address
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Address Line | 519 LITCHFIELD WAY
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City | OSWEGO
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State | IL
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Zip | 60543-4203
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Country | US
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Telephone | 708-773-6957
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TONNI MINETTE JORDAN
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Credential | PMHNP-BC
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Telephone | 708-773-6957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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