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General NPI Number Information
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NPI Number | 1912247693
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Entity Type | Organization
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Legal Business Name | ATTENTION TO WELLNESS, LTD
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Dates
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Enumeration Date | 02/18/2013
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 1020 MILWAUKEE AVE SUITE 235
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City | DEERFIELD
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State | IL
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Zip | 60015-3513
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Country | US
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Telephone | 847-436-6967
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Fax |
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Provider Business Mailing Address
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Address Line | 1020 MILWAUKEE AVE SUITE 235
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City | DEERFIELD
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State | IL
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Zip | 60015-3513
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Country | US
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Telephone | 847-436-6967
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DENNIS ALEKSANDROVICH LUBCHENKO
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Credential | LCPC, CADC, PCGC
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Telephone | 847-436-6967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.008342
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License Number State | IL
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