Individual
BRIAN TUCKER EADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
710 S PAULINA ST STE 438, CHICAGO, IL 60612-3808
(312) 947-2991
Mailing address
710 S PAULINA ST STE 438, CHICAGO, IL 60612-3808
(312) 947-2991
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
150.102956
IL
Other
Enumeration date
11/28/2017
Last updated
09/20/2021
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