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Marcus Hale
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Cedar Hollow – Credentialing
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Ethan Park
LCPC · Oak Park · Prairie Mutual
Item details
Provider name
Group
Evanston
Oak Park
Naperville
Credential
Provider NPI
CAQH #
State licensure
License status
Not checked
Active
Expired
Not found
Needs review
License expires
Payer
Status
Ready to check
Ready to submit
On hold
Needs review
Submitted
Application ID
Submitted
SSN
Restricted
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Marcus Hale
10/02/2026
Application PM-55102 filed with Prairie Mutual.