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General NPI Number Information
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NPI Number | 1982910998
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Entity Type | Organization
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Legal Business Name | CITY OF CHICAGO DEPARTMENT OF MENTAL HEALTH
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 08/27/2010
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Provider Practice Location Address
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Address Line | 1140 WEST 79TH STREET
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City | CHICAGO
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State | IL
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Zip | 60620
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Country | US
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Telephone | 312-747-0881
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Fax |
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Provider Business Mailing Address
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Address Line | 33 SOUTH STATE STREET
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City | CHICAGO
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State | IL
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Zip | 60604-3972
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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 | PROGRAM COUNCELOR
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Name | JOYCE MORRIS
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Credential |
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Telephone | 312-747-0881
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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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