person
Tyrone Anderson
Addiction (Substance Use Disorder) Counselor in Chicago, Illinois
NPI 1326536376

Tyrone Anderson is an Addiction (Substance Use Disorder) Counselor based in Chicago, IL and is specialized in Addiction (Substance Use Disorder). Tyrone Anderson practices in Chicago, IL. The NPI Number for Tyrone Anderson is 1326536376 and holds a License No. 11457 (Illinois).

The current practice location address for Tyrone Anderson is 5910 W Division St, Chicago, IL and can be reached out via phone at 773-777-7112 and via fax at 773-887-3300.

Location: 5910 W Division St, Chicago, IL, 60651-1031
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Provider Profile Details
NPI Number
1326536376
Provider Name
Tyrone Anderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
5910 W Division St, Chicago, IL, 60651-1031
Phone Number
773-777-7112
Fax Number
773-887-3300
Provider Enumeration Date
04/25/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36-3297629 05 IL
institution
Provider Business Practice Location Address Details
Address
5910 W Division St
City
State
Zip
60651-1031
Phone Number
773-777-7112
Fax Number
773-887-3300
person
Provider Business Mailing Address Details
Address
5910 W Division St
City
State
Zip
60651-1031
Phone Number
773-777-7112
Fax Number
773-887-3300
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11457 (Illinois)
Definition
Definition to come...
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