CASEY TANNER LLC
NPI 1093480592
Clinic/Center - Adult Mental Health in Chicago, IL

Active since August 16, 2021
2210 W WABANSIA AVE, CHICAGO, IL 60647(847) 849-9237 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Casey Tanner Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASEY TANNER LLC (NPI 1093480592), doing business as The Expansive Group, is a healthcare organization registered as an adult mental health in Chicago, Illinois and active in the NPI registry since August 2021. The organization lists Casey Tanner, Managing Owner, as its authorized official.

NPPES Registry Identity

NPI1093480592
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameCASEY TANNER LLC
Location Address2210 W WABANSIA AVEChicago, IL 60647-5477
Mailing Address2210 W Wabansia AveChicago, IL 60647-5477
Organization SubpartNo
Authorized OfficialCasey TannerManaging Owner · (847) 849-9237
Enumeration DateAugust 16, 2021
NPPES CertifiedAugust 16, 2021
NPI 1093480592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedClinic/CenterTaxonomy 261Q00000X
2210 W WABANSIA AVE, Chicago, IL 60647

Other Names 1

Doing Business AsThe Expansive Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
2210 W WABANSIA AVE, UNIT 301
CHICAGO, IL 60647
Social Worker (Clinical)
2210 W WABANSIA AVE
CHICAGO, IL 60647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Casey Tanner LLC's NPI number?

The NPI number for Casey Tanner LLC is 1093480592. It was assigned to this organization in the NPPES registry on August 16, 2021. The provider is doing business as The Expansive Group.

Where is Casey Tanner LLC located?

Casey Tanner LLC is located at 2210 W Wabansia Ave, Chicago, IL 60647. The listed phone number is (847) 849-9237.

What is Casey Tanner LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Casey Tanner LLC was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.