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NPI 1972140648

NPI 1972140648 : DILLON SCOTT MURRAY LCSW : FRANKFORT, IL

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General NPI Number Information
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    NPI Number           |    1972140648
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    Entity Type          |    Individual 
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    Provider Name        |    DILLON SCOTT MURRAY LCSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/02/2019
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    Last Update Date     |    04/03/2025
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Provider Practice Location Address
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    Address Line         |    20635 ABBEY WOODS CT N STE 310 
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    City                 |    FRANKFORT
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    State                |    IL
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    Zip                  |    60423-3184
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    Country              |    US
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    Telephone            |    888-928-0144
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10537 S ROBERTS RD 
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    City                 |    PALOS HILLS
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    State                |    IL
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    Zip                  |    60465-1933
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    Country              |    US
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    Telephone            |    708-974-2300
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    Fax                  |    708-974-2498
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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       |    2442650
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    149.024821
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    License Number State |    IL
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