Healthcare Provider Details

I. General information

NPI: 1487674628
Provider Name (Legal Business Name): MARY H. CASE PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 E ERIE ST SUITE 713
CHICAGO IL
60611-2926
US

IV. Provider business mailing address

625 N MICHIGAN AVE STE 1750
CHICAGO IL
60611-3116
US

V. Phone/Fax

Practice location:
  • Phone: 312-203-8114
  • Fax: 630-357-1373
Mailing address:
  • Phone: 312-203-8114
  • Fax: 630-357-1373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180004710
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071007298
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: