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ANNE F AVERY — OIG Excluded Provider (CHICAGO, IL, 1128b4)

ANNE F AVERY — OIG Excluded Provider (CHICAGO, IL, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: ANNE F AVERY; Type: Individual; Provider category: PSYCHOLOGIC PRACTICE.

NameANNE F AVERY
TypeIndividual
Provider categoryPSYCHOLOGIC PRACTICE
SpecialtyPSYCHOLOGY
CityCHICAGO
StateIL
ZIP60614
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2000-08-20
SourceHHS-OIG LEIE

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