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Organization
MCNULTY CONSULTANTS, INC
Active
Organization
MCNULTY CONSULTANTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL R. MCNULTY LCSW (PRESIDENT)
(630) 673-5510
Entity
Organization
Contact information
Practice address
125 E LAKE ST STE 206, BLOOMINGDALE, IL 60108-1117
(630) 673-5510
Mailing address
1N270 ELLIS AVE, CAROL STREAM, IL 60188-3543
(630) 673-5510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149004338
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02222710
BLUE CROSS BLUE SHIELD ID
IL
Enumeration date
06/18/2007
Last updated
10/14/2008
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