| Andy Tucker Llc | |
|
616 N North Ct Ste 150 Palatine IL 60067-8121 | |
| (847) 834-9411 | |
| Not Available |
| Full Name | Andy Tucker Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 616 N North Ct Ste 150, Palatine, Illinois |
| Authorized Official Name and Position | Andrew R Tucker (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 8478349411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andy Tucker Llc 616 N North Ct Ste 150 Palatine IL 60067-8121 Ph: (847) 834-9411 | Andy Tucker Llc 616 N North Ct Ste 150 Palatine IL 60067-8121 Ph: (847) 834-9411 |
| NPI Number | 1003564055 |
|---|---|
| Provider Enumeration Date | 03/17/2022 |
| Last Update Date | 04/20/2022 |
| Certification Date | 04/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003564055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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