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NPI 1922408889

NPI 1922408889 : HEURISTIC HEALING INC. : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1922408889
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEURISTIC HEALING INC. 
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Dates
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    Enumeration Date     |    08/28/2014
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    Last Update Date     |    02/06/2026
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Provider Practice Location Address
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    Address Line         |    1222 W. 95TH ST 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60643
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    Country              |    US
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    Telephone            |    773-238-5555
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    Fax                  |    773-238-5533
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Provider Business Mailing Address
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    Address Line         |    1708 W. BEVERLY GLEN PKWY 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60643
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    Country              |    US
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    Telephone            |    773-238-5555
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    Fax                  |    773-238-5533
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Authorized Official
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    Title or Position    |    EXEC OFFICE ASST
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    Name                 |    MR. BASIL J MCCARTY 
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    Credential           |    
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    Telephone            |    773-238-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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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        |    261QF0400X
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    Taxonomy Name        |    Federally Qualified Health Center (FQHC)
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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