Organization
CHARLES C. ANDERSON ED.D REG PSY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES C. ANDERSON ED.D (PRESIDENT)
(847) 398-1717
Entity
Organization
Contact information
Practice address
2030 N MAGNOLIA AVE, CHICAGO, IL 60614-4010
(847) 398-1717
(773) 348-5271
Mailing address
3411 N KENNICOTT AVE, B, ARLINGTON HEIGHTS, IL 60004-7813
(847) 398-1717
(773) 348-5271
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
071.002741
IL
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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