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Contact Information

TARI N MACK, PHD
636 CHURCH ST
SUITE 415
EVANSTON, IL60201
 Phone: 773-307-8148
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TARI N MACK · (Female)

NPI # 1316197791
Status Active
Credentials PHD
Entity Individual
Enumeration date 09/23/2008
Last updated 05/20/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 071007514
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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