Therapeutic Medical Service Providers Tmsp Chartered

NPI #1659736064 in Chicago, Illinois

Provider Information

NPI Number: 1659736064
Entity Type: Organization
Organization Name: Therapeutic Medical Service Providers Tmsp Chartered
Primary Specialty: Social Worker
Enumeration Date: Dec 30, 2015
Last Updated: Dec 30, 2015

Practice Location

Address: 10809 S STATE ST
City: Chicago
State: Illinois
ZIP Code: 60628-3409
Phone: (773) 818-9607

Authorized Official

Name: ELWOOD P NYTHER, LCSW
Title: ADMINISTATOR
Phone: (773) 818-9607

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Social Worker - Clinical — Clinical	1041C0700X

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