CASEY TANNER LLC NPI 1093480592

NPI Information

NPI: 1093480592
Provider Name: CASEY TANNER LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2210 W WABANSIA AVE
CHICAGO, IL
ZIP 60647
Phone: (847) 849-9237
Get Directions

CASEY TANNER LLC is an adult mental health clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CASEY TANNER LLC NPI is 1093480592. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2210 W WABANSIA AVE
CHICAGO, IL
ZIP 60647-477
Phone: (847) 849-9237

The provider's authorized official is Casey Tanner .
The authorized official title is Managing Owner and has the following contact phone number (847) 849-9237.

The enumeration date for this NPI number is 8/16/2021 and was last updated on 8/16/2021.

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	Primary
1	101YM0800X	Counselor	Mental Health	No
2	261Q00000X	Clinic/Center		No
3	261QM0850X	Clinic/Center	Adult Mental Health	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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