TABS BEHAVIORAL HEALTH INC NPI 1518585942

NPI Information

NPI: 1518585942
Provider Name: TABS BEHAVIORAL HEALTH INC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
13316 VICARAGE DR
PLAINFIELD, IL
ZIP 60585
Phone: (708) 612-2108
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TABS BEHAVIORAL HEALTH INC is a psychiatric/mental health nurse practitioner in Plainfield, IL. TABS BEHAVIORAL HEALTH INC NPI is 1518585942. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13316 VICARAGE DR
PLAINFIELD, IL
ZIP 60585-050
Phone: (708) 612-2108
Fax: (321) 256-6380

The provider's authorized official is Raymond Bryant .
The authorized official title is Apn and has the following contact phone number (708) 612-2108.

The enumeration date for this NPI number is 7/13/2020 and was last updated on 9/21/2021.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2018001305	OTHER	ILLINOIS	ANCC

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: 5/5/2024

NPI Synchronization or Removal

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