MEDICARE: DR. TAMARA L. TENCER & ASSOCIATES, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103TE1100X	Exercise & Sports Psychologist
2	103TP0814X	Psychoanalysis Psychologist
3	103TF0000X	Family Psychologist
4	103TC2200X	Clinical Child & Adolescent Psychologist
5	103TC0700X	Clinical Psychologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1811101249	OTHER		CLINICAL PSYCHOLOGY

General Provider Information

NPI Number	:	1861108490
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. TAMARA L. TENCER & ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	900 OGDEN AVE # 138
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-2829
Country	:	US
Telephone Number	:	773-243-4054
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 E OGDEN AVE STE 304
Second Line	:
City	:	WESTMONT
State	:	IL
Zip	:	60559-5554
Country	:	US
Telephone Number	:	773-243-4054
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TAMARA TENCER
Credential	:
Telephone Number	:	773-243-4054

Provider Enumeration Date	:	01/26/2023
Last Update Date	:	10/03/2025

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