TYRONE ANDERSON


Address: 5910 W Division St, Chicago, IL 60651-1031
Phone: 7737777112

TYRONE ANDERSON (NPI# 1326536376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326536376
Entity Type Individual
Full Name TYRONE ANDERSON
Practice Address 5910 W Division St
Chicago
IL 60651-1031
Practice Telephone 7737777112
Practice Fax Number 7738873300
Mailing Telephone 7737777112
Mailing Fax Number 7738873300
Enumeration Date 2018-04-25
Last Update Date 2018-04-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
11457 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 36-3297629 05

Other Providers TYRONE ANDERSON

NPI Name Taxonomy Address Enumeration
1215915988 Tyrone Charles Anderson Jr. Technician, Other Comdt (cg-1122), U.S. Coast Guard2100 2nd St Sw, Suite 5314, Washington, DC 20593-0001 2006-01-04
1558921510 Tyrone Anderson Case Manager/Care Coordinator 9925 International Blvd, Oakland, CA 94603-2558 2019-06-20
1740781129 Tyrone Anderson Counselor 1050 Ribaut Rd, Beaufort, SC 29902-5400 2018-02-22
1184866501 Tyrone James Anderson Case Manager/Care Coordinator 1310 Tully Rd Ste 101, San Jose, CA 95122-3054 2009-03-31

Office Location

Street Address 5910 W DIVISION ST
City CHICAGO
State IL
Zip Code 60651-1031

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922411008 Youth Outreach Services Clinic/Center 5910 W Division St, Chicago, IL 60651-1031 2014-06-06
1265054704 Tiesha Liggins Counselor 5910 W Division St, Chicago, IL 60651-1031 2020-05-07
1144850470 Jasmine Gervaiz Gaddy Counselor 5910 W Division St, Chicago, IL 60651-1031 2020-01-26
1699249326 Cole Vocelka Counselor 5910 W Division St, Chicago, IL 60651-1031 2019-01-16
1548731417 Amanda Victoria Mendoza Social Worker 5910 W Division St, Chicago, IL 60651-1031 2018-12-17
1740751791 Cynthia Danielle Cruz Counselor 5910 W Division St, Chicago, IL 60651-1031 2018-12-16
1801399480 Tyesha Johnson Counselor 5910 W Division St, Chicago, IL 60651-1031 2018-03-09
1114435617 Jessica Chandler Counselor 5910 W Division St, Chicago, IL 60651-1031 2018-01-18
1104332998 Sheneca Curtis Counselor 5910 W Division St, Chicago, IL 60651-1031 2017-12-16
1427584853 Rena Garrett Counselor 5910 W Division St, Chicago, IL 60651-1031 2017-05-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215474978 Kanesha Walker Amaro Counselor 5910 W Division, Chicago, IL 60651 2017-01-19
1639628415 Fresenius Medical Care of Illinois, LLC Clinic/Center 3520 West Grand, Chicago, IL 60651 2016-09-22
1326596321 Giselle Tisha Wallace Nurse's Aide 5809 W Rice, Chgo, IL 60651 2016-09-19
1811385214 Jeanette Rodriguez Social Worker 1116 N Kedzie Av. Office#257, Association House of Chicago, Chicago, IL 60651 2015-01-07
1801147475 Diane Dickens-rogers Massage Therapist 5700 W. Chicago Ave., Chicago, IL 60651 2012-09-24
1891045241 Association House of Chicago Residential Treatment Facility, Emotionally Disturbed Children 1900 North Sawyer Avenue, Chicago, IL 60651 2012-09-13
1770860983 Christine C Osborne Pharmacist 1541 N.central Ave, Chicago, IL 60651 2011-11-16
1629206388 Habilitative Systems Inc Case Management 1049 N Drake Ave, Chicago, IL 60651 2009-07-01
1841428547 Habilitative Systems, Inc. Case Management 4234 W Potomac Ave, Chicago, IL 60651 2009-07-01
1306074000 Habilitative Systems, Inc Case Management 915 N Massasoit Ave, Chicago, IL 60651 2009-07-01
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669071932 Euginia Ivanova Counselor 3410 W. Roosevelt Rd, Chicago, IL 60624 2020-10-19
1073127775 Deborah Lynn Dettman Counselor 1209 W Sherwin Ave Apt 809, Chicago, IL 60626-2257 2020-09-01
1538705793 Andrew W Rintels Counselor C/o Madden, Jiganti, Moore & Sinars LLP, 190 South Lasalle Street, Suite 1700, Chicago, IL 60603 2019-11-22
1710528518 Gateway Professional Services, PC Counselor 55 E Jackson Blvd Ste 1500, Chicago, IL 60604-4184 2019-10-02
1801447552 Erika Chawla Counselor 1658 N Milwaukee Ave # 8253, Chicago, IL 60647-6905 2019-09-24
1336790310 Robert J Smith Counselor 2544 W Irving Park Rd Apt 1e, Chicago, IL 60618-3752 2019-09-22
1255997987 Austin Hall Counselor 2942 W Lake St, Chicago, IL 60612-1924 2019-05-17
1417418914 Monica Connelly Counselor 800 N Lake Shore Dr Ste 800, Chicago, IL 60611-2402 2019-03-27
1336608439 Columbus Manor Counselor 5107 W Jackson Blvd, Chicago, IL 60644-4316 2019-03-18
1972062958 Patricia B Flaherty Counselor 210 S Desplaines St Apt 1407, Chicago, IL 60661-5570 2019-03-18
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Competitor

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City CHICAGO
Zip Code 60651

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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