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General NPI Number Information
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NPI Number | 1912695099
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Entity Type | Organization
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Legal Business Name | HEALTHWISZ CONSULTING LLC
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Dates
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Enumeration Date | 04/27/2023
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Last Update Date | 05/18/2023
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Provider Practice Location Address
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Address Line | 2835 N SHEFFIELD AVE STE 304
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City | CHICAGO
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State | IL
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Zip | 60657-5084
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Country | US
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Telephone | 630-341-0057
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Fax |
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Provider Business Mailing Address
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Address Line | 1130 S CANAL ST # 1425
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City | CHICAGO
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State | IL
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Zip | 60607-4907
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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 | CLINICAL THERAPIST
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Name | KATHY T MCCALL
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Credential | LCPC
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Telephone | 773-497-0005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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