OrganizationActive
Charles C. Anderson Ed.d Reg Psy
NPI 1194963082 · Adult Mental Health Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1194963082
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Anderson, President(847) 398-1717
- License
- 071.002741 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2030 N Magnolia Ave
Chicago, IL 60614-4010
Phone: (847) 398-1717
Fax: (773) 348-5271
Approximate (ZIP-level) locationGet directions
Mailing address
3411 N Kennicott Ave
Arlington Heights, IL 60004-7813
Registry dates
- Enumerated
- 2009-01-30
- Last updated
- 2009-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.