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NPI 1932995834

NPI 1932995834 : TESS REBECCA LEVITT MSW (EXPECTED MAY 9) : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1932995834
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    Entity Type          |    Individual 
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    Provider Name        |    TESS REBECCA LEVITT MSW (EXPECTED MAY 9)
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/16/2025
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    Last Update Date     |    04/16/2025
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Provider Practice Location Address
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    Address Line         |    2235 N HAMILTON AVE 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60647-3303
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    Country              |    US
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    Telephone            |    773-645-3321
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1425 CAROL LN 
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    City                 |    DEERFIELD
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    State                |    IL
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    Zip                  |    60015-2038
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    Country              |    US
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    Telephone            |    224-619-6773
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041S0200X
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    Taxonomy Name        |    School Social Worker
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    License Number       |    
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    License Number State |    IL
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