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General NPI Number Information
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NPI Number | 1942961164
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Entity Type | Organization
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Legal Business Name | BROWNSKINPSYCH, PLLC
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Dates
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Enumeration Date | 01/10/2022
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 1655 S BLUE ISLAND AVE STE 497
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City | CHICAGO
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State | IL
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Zip | 60608-2133
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Country | US
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Telephone | 708-966-7506
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Fax |
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Provider Business Mailing Address
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Address Line | 9923 RIDGELAND AVE UNIT 96
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City | CHICAGO RIDGE
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State | IL
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Zip | 60415-1262
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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 PSYCHOLOGIST/OWNER
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Name | DR. ALEXIS WESTBROOK
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Credential | PSY.D.
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Telephone | 773-606-9135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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