Kelli Jean Tande in Countryside - Professional
Kelli Jean Tande - NPI 1659580686
Kelli Jean Tande is a Professional in Countryside, Illinois. Kelli Jean Tande practices all healthcare services and medical treatments related to Professional. The NPI Number for Kelli Jean Tande is 1659580686. The last update date is 2007-07-08.
Kelli Jean Tande's current location address is 9649 W 55th St, Countryside, Illinois. You can contact this provider via phone number 7083523580. The mailing address for Kelli Jean Tande is 9649 W 55th St, Countryside, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelli Jean Tande |
|---|---|
| Address | 9649 W 55th St, Countryside, Illinois |
| Phone Number | 7083523580 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | BCBA |
NPI Number Detail
| NPI Number | 1659580686 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9649 W 55th St |
|---|---|
| City | Countryside |
| State | Illinois (IL) |
| Post Code | 605253632 |
| Phone Number | 7083523580 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 3072-01-06 0 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Post Comment/ Review Below
What is the Kelli Jean Tande's 1659580686?
The Kelli Jean Tande's NPI (National Provider Identifier) Number is 1659580686. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kelli Jean Tande is physically located?
The Kelli Jean Tande is physically situated at the following address: 9649 W 55Th St, Countryside, IL, 605253632.
What is the Kelli Jean Tande's specialty and taxonomy code?
The Kelli Jean Tande's specialty is Professional, and the corresponding taxonomy code is 101Yp2500X.
On what date did the Kelli Jean Tande receive the assignment of its 1659580686 from the Centers for Medicare & Medicaid Services?
The Kelli Jean Tande was issued its 1659580686 by the Centers for Medicare & Medicaid Services on 2007-05-22.
As of what date was the information pertaining to Kelli Jean Tande, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kelli Jean Tande, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.