KYLE TANNER LCPC NPI 1679156046

NPI Information

NPI: 1679156046
Provider Name: KYLE TANNER, LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1053 W GRACE ST APT 2E
CHICAGO, IL
ZIP 60613
Phone: (843) 450-5953
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Kyle Tanner, LCPC is a professional counselor in Chicago, IL. Kyle Tanner, LCPC NPI is 1679156046. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1053 W GRACE ST APT 2E
CHICAGO, IL
ZIP 60613-082
Phone: (843) 450-5953

The enumeration date for this NPI number is 5/3/2021 and was last updated on 5/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	180013001	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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