Provider Demographics
NPI:1235807868
Name:TESSMANN, ERIC (LSW)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:TESSMANN
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30W771 BUTTERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-9642
Mailing Address - Country:US
Mailing Address - Phone:630-687-2833
Mailing Address - Fax:
Practice Address - Street 1:27W130 ROOSEVELT RD
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190-1611
Practice Address - Country:US
Practice Address - Phone:630-920-3332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker