| Dr. Tari Mack, Inc. | |
|
636 Church St Ste 415 Evanston IL 60201-4580 | |
| (773) 307-8148 | |
| (773) 307-8148 |
| Full Name | Dr. Tari Mack, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 636 Church St Ste 415, Evanston, Illinois |
| Authorized Official Name and Position | Tari N Mack (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7733078148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Tari Mack, Inc. 636 Church St Ste 415 Evanston IL 60201-4580 Ph: (773) 307-8148 | Dr. Tari Mack, Inc. 636 Church St Ste 415 Evanston IL 60201-4580 Ph: (773) 307-8148 |
| NPI Number | 1861905051 |
|---|---|
| Provider Enumeration Date | 11/09/2017 |
| Last Update Date | 11/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861905051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.007514 (* (Not Available)) | Primary |
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