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Contact Information

SOULU
3557 W PETERSON AVE #122
CHICAGO, IL60659
 Phone: 773-478-6000
 Fax: 773-478-6516
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for SOULU · (Female)

NPI Number 1689029050
Status Active
Credentials
Entity Individual
Enumeration date 05/04/2016
Last updated 05/04/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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