Organization · Type 2 NPI
Casey Tanner LLC
Adult Mental Health Clinic/Center · Chicago, IL
NPI number
1093480592
Active
Practice location
2210 W Wabansia Ave
Chicago, IL 60647-5477
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2 other providers at this address
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About NPI 1093480592
Casey Tanner LLC's National Provider Identifier is 1093480592, issued on Aug 16, 2021. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Chicago, IL. The record was last updated on Aug 16, 2021.