Provider Demographics
NPI:1487674628
Name:CASE, MARY H (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:H
Last Name:CASE
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:625 N MICHIGAN AVE
Mailing Address - Street 2:STE 1750
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3116
Mailing Address - Country:US
Mailing Address - Phone:312-203-8114
Mailing Address - Fax:630-357-1373
Practice Address - Street 1:233 E ERIE ST
Practice Address - Street 2:SUITE 713
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2926
Practice Address - Country:US
Practice Address - Phone:312-203-8114
Practice Address - Fax:630-357-1373
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2018-10-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL180004710101YM0800X
IL071007298103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health