Provider Demographics
NPI:1346796000
Name:AKERE, TADE O (PSYD)
Entity Type:Individual
Prefix:
First Name:TADE
Middle Name:O
Last Name:AKERE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1516 FOWLER AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-3955
Mailing Address - Country:US
Mailing Address - Phone:773-425-8665
Mailing Address - Fax:773-776-8801
Practice Address - Street 1:5500 S DAMEN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60636-1107
Practice Address - Country:US
Practice Address - Phone:773-776-8800
Practice Address - Fax:773-776-8801
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist