Individual
DR. MICHAEL J TANSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
151 N MICHIGAN AVE, SUITE 2119, CHICAGO, IL 60601-7506
(312) 729-5225
Mailing address
151 N MICHIGAN AVE, SUITE 2119, CHICAGO, IL 60601-7506
(312) 729-5225
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-002506
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071-002506
STATE LICENSE
IL
01
—
36-3173071
TAX ID
IL
Enumeration date
04/02/2007
Last updated
11/25/2009
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