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Organization
TPA NETWORK INCORPORATED
Active
Organization
TPA NETWORK INCORPORATED
Active
Other names
TPAN
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA MAULDIN (PROVIDER ENROLLMENT MANAGER)
(414) 225-1611
Entity
Organization
Contact information
Practice address
5537 N BROADWAY ST, CHICAGO, IL 60640-1405
(773) 989-9400
(773) 989-9494
Mailing address
PO BOX 18440, PALATINE, IL 60055-8440
(866) 525-5484
(833) 394-4961
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/09/2012
Last updated
03/25/2026
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