Organization Active NPI

Chicagotlc LLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1073016184
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CHICAGOTLC LLC
Practice address
150 S Wacker Dr Ste 2400
Chicago, IL 60606-4211
Phone
(773) 270-3076
Fax
(312) 788-2701
NPI assigned
Mar 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marguerite Reese, LCPC
Title
Owner
Phone
(773) 270-3076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

150 S Wacker Dr Ste 2400
Chicago, IL 60606-4211

Mailing address

150 S Wacker Dr Ste 2400
Chicago, IL 60606-4211
Phone (773) 270-3076

Other names 1

  • Chicago Therapy and Life Coaching Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1073016184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S WACKER DR STE 2400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606064211",
            "telephone_number": "773-270-3076",
            "fax_number": "312-788-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S WACKER DR STE 2400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606064211",
            "telephone_number": "773-270-3076",
            "fax_number": "312-788-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGOTLC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "MARGUERITE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-270-3076",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicago Therapy and Life Coaching",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.