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KYLE TANNER LCPC
NPI 1679156046
Counselor - Professional in Chicago, IL

Active since May 03, 2021
1053 W GRACE ST APT 2E, CHICAGO, IL 60613(843) 450-5953 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyle Tanner Lcpc NPPES

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

KYLE TANNER LCPC (NPI 1679156046) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180013001) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1679156046
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKYLE TANNERCredential: LCPC
Location Address1053 W GRACE ST APT 2EChicago, IL 60613-5082
Mailing Address7227 Madison StForest Park, IL 60130-1726
Phone(843) 450-5953
Sole ProprietorYes
Enumeration DateMay 3, 2021
NPPES CertifiedMay 3, 2021
✔ NPI 1679156046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180013001
1053 W GRACE ST APT 2E, Chicago, IL 60613
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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

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 Kyle Tanner's NPI number?

The NPI number for Kyle Tanner is 1679156046. It was assigned to this individual provider in the NPPES registry on May 3, 2021.

Where is Kyle Tanner located?

Kyle Tanner practices at 1053 W Grace St Apt 2E, Chicago, IL 60613. The listed phone number is (843) 450-5953.

What is Kyle Tanner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kyle Tanner was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.