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General NPI Number Information
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NPI Number | 1972699569
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Entity Type | Individual
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Provider Name | FRANCES MENDELSOHN LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1525 E 53RD ST SUITE 407
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City | CHICAGO
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State | IL
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Zip | 60615-4557
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Country | US
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Telephone | 773-317-7532
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 E 56TH ST SUITE 1905
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City | CHICAGO
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State | IL
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Zip | 60637-1970
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Country | US
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Telephone | 773-363-7313
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149002439
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License Number State | IL
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