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TPA NETWORK INCORPORATED NPI 1174896914


NPI Information

NPI: 1174896914
Provider Name: TPA NETWORK INCORPORATED

Other Name: TPAN

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
5537 N BROADWAY ST
CHICAGO, IL
ZIP 60640
Phone: (773) 989-9400
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TPA NETWORK INCORPORATED is a mental health (including community mental health center) clinic center in Chicago, IL. TPA NETWORK INCORPORATED NPI is 1174896914. The provider is registered as an organization entity type.
The provider Other Name Is Tpan.

The provider's business location address is:

5537 N BROADWAY ST
CHICAGO, IL
ZIP 60640-405
Phone: (773) 989-9400
Fax: (773) 989-9494

The provider's authorized official is Tanya Mauldin .
The authorized official title is Provider Enrollment Manager and has the following contact phone number (414) 225-1611.

The enumeration date for this NPI number is 2/9/2012 and was last updated on 7/19/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 4/28/2024

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