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Casey Tanner Llc
Adult Mental Health Clinic/Center in Chicago, Illinois
NPI 1093480592

Casey Tanner Llc is an Adult Mental Health Clinic/Center based in Chicago, IL and is specialized in Adult Mental Health. Casey Tanner Llc practices in Chicago, IL. The NPI Number for Casey Tanner Llc is 1093480592 and holds a License No. (Illinois).

The current practice location address for Casey Tanner Llc is 2210 W Wabansia Ave, Chicago, IL and can be reached out via phone at 847-849-9237.

Location: 2210 W Wabansia Ave, Chicago, IL, 60647-5477
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093480592
Provider Name
Casey Tanner Llc
Credential
Provider Entity Type
Organization
Address
2210 W Wabansia Ave, Chicago, IL, 60647-5477
Phone Number
847-849-9237
Fax Number
Provider Enumeration Date
08/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2210 W Wabansia Ave
City
Chicago
State
Illinois
Zip
60647-5477
Phone Number
847-849-9237
Fax Number
person
Provider Business Mailing Address Details
Address
2210 W Wabansia Ave
City
Chicago
State
Illinois
Zip
60647-5477
Phone Number
847-849-9237
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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