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NPI 1902002835

NPI 1902002835 : UNITY I CARE INC. : BELLWOOD, IL

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General NPI Number Information
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    NPI Number           |    1902002835
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNITY I CARE INC. 
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Dates
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    Enumeration Date     |    06/26/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    3100 SAINT CHARLES RD 
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    City                 |    BELLWOOD
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    State                |    IL
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    Zip                  |    60104-1548
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    Country              |    US
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    Telephone            |    708-544-6605
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    Fax                  |    708-544-6050
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Provider Business Mailing Address
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    Address Line         |    3100 SAINT CHARLES RD. 
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    City                 |    BELLWOOD
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    State                |    IL
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    Zip                  |    60104-1449
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    Country              |    US
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    Telephone            |    708-544-6605
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    Fax                  |    708-544-6050
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. GEORGE WILLIAM JOHNSON 
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    Credential           |    
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    Telephone            |    708-544-6605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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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        |    103TH0100X
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    Taxonomy Name        |    Health Service Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    103TB0200X
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    Taxonomy Name        |    Cognitive & Behavioral Psychologist
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    License Number       |    
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    License Number State |    
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