TEDROS M TEKLE
NPI 1184331068
Counselor - Mental Health in Chicago, IL
Active since November 01, 2022
About Tedros M Tekle NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TEDROS M TEKLE (NPI 1184331068) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since November 2022.
NPPES Registry Identity
NPI1184331068
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTEDROS M TEKLE
Location Address2046 W DEVON AVEChicago, IL 60659-2241
Mailing Address2046 W Devon AveChicago, IL 60659-2241 · (773) 739-9079 · Fax (773) 739-9080
Phone(773) 739-9079
Fax(773) 739-9080
Sole ProprietorNo
Enumeration DateNovember 1, 2022
NPPES CertifiedNovember 1, 2022
✔ NPI 1184331068 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2046 W DEVON AVE, Chicago, IL 60659
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Mental Health (Including Community Mental Health Center))
2046 W DEVON AVE
CHICAGO, IL 60659
CHICAGO, IL 60659
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184331068, enumerated as an "individual" on November 01, 2022.
The provider is located at 2046 W DEVON AVE CHICAGO, IL 60659 and the phone number is (773) 739-9079.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
