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Contact Information

TYSON EVERETT, CSAC
5500 S INDIANA AVE BSMT
CHICAGO, IL60637-1011
 Phone: 773-488-9460
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for

NPI # 1255717385
Entity Organization
Organization subpart 1 Not specified
Enumeration date 07/30/2015
Last updated 09/11/2025 - About 9 months ago
Identifiers
IL License # A-3249-0001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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