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Organization

TABS BEHAVIORAL HEALTH INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAYMOND BRYANT (APN)
(708) 612-2108
Entity
Organization

Contact information

Practice address
13316 VICARAGE DR, PLAINFIELD, IL 60585-5050
(708) 612-2108
(321) 256-6380
Mailing address
13316 VICARAGE DR, PLAINFIELD, IL 60585-5050
(708) 612-2108
(321) 256-6380

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2018001305
ANCC
IL
Enumeration date
07/13/2020
Last updated
09/21/2021
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