Provider Demographics
NPI:1821469719
Name:THE TEECH GROUP
Entity Type:Organization
Organization Name:THE TEECH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CULBERSON ABINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:773-928-3933
Mailing Address - Street 1:100 E 96TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60628-1455
Mailing Address - Country:US
Mailing Address - Phone:773-928-3933
Mailing Address - Fax:773-941-4722
Practice Address - Street 1:233 S WACKER DR FL 84
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60606-6338
Practice Address - Country:US
Practice Address - Phone:312-283-8731
Practice Address - Fax:773-941-4722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-17
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health