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General NPI Number Information
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NPI Number | 1871883496
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Entity Type | Organization
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Legal Business Name | HEALING EMPOWERING & LEARNING PROFESSIONALS LLC
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Dates
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Enumeration Date | 04/15/2011
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Last Update Date | 08/30/2017
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Provider Practice Location Address
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Address Line | 1525 E 53RD ST SUITE 425
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City | CHICAGO
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State | IL
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Zip | 60615-4557
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Country | US
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Telephone | 773-991-3747
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Fax |
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Provider Business Mailing Address
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Address Line | 1525 E 53RD ST SUITE 425
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City | CHICAGO
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State | IL
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Zip | 60615-4557
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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 | MANAGING OWNER/ PSYCHOLOGIST
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Name | DR. KAREN MCCURTIS-WITHERSPOON
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Credential | PHD
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Telephone | 773-991-3747
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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 | 71006183
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License Number State | IL
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