Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles C. Anderson EDD Reg Psy

Organization Adult Mental Health Clinic/Center · NPI 1194963082

Charles C. Anderson EDD Reg Psy is an Adult Mental Health Clinic/Center in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009

Practice location Address checks out

2030 N Magnolia Ave
Chicago, IL 60614-4010
Phone: (847) 398-1717
Fax: (773) 348-5271
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X · Licence 071.002741 (IL)

Record details

NPI number1194963082
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Anderson — President · (847) 398-1717
NPI enumeratedJanuary 30, 2009
Last updated in NPPESJanuary 30, 2009
Mailing address3411 N Kennicott Ave, B, Arlington Heights, IL 60004-7813

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