OrganizationActive
Casey Tanner LLC
NPI 1093480592 · Adult Mental Health Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1093480592
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Casey Tanner, Managing Owner(847) 849-9237
Specialties & taxonomies
Ambulatory Health Care Facilities
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Practice location
2210 W Wabansia Ave
Chicago, IL 60647-5477
Phone: (847) 849-9237
Approximate (ZIP-level) locationGet directions
Mailing address
2210 W Wabansia Ave
Chicago, IL 60647-5477
Other names (DBA / former)
- Doing business as
- The Expansive Group
Registry dates
- Enumerated
- 2021-08-16
- Last updated
- 2021-08-16
- Certified
- 2021-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.