CHARLES C. ANDERSON ED.D REG PSY 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. CHARLES C. ANDERSON ED.D REG PSY NPI is 1194963082. The provider is registered as an organization entity type.
The provider's business location address is:
2030 N MAGNOLIA AVE
CHICAGO, IL
ZIP 60614-010
Phone: (847) 398-1717
Fax: (773) 348-5271
The provider's authorized official is Charles C. Anderson .
The authorized official title is President and has the following contact phone number (847) 398-1717.
The enumeration date for this NPI number is 1/30/2009 and was last updated on 1/30/2009.