Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 01/26/2023
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E OGDEN AVE STE 304
WESTMONT IL
60559-5554
US

IV. Provider business mailing address

900 OGDEN AVE # 138
DOWNERS GROVE IL
60515-2829
US

V. Phone/Fax

Practice location:
  • Phone: 773-243-4054
  • Fax:
Mailing address:
  • Phone: 773-243-4054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TE1100X
TaxonomyExercise & Sports Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code103TP0814X
TaxonomyPsychoanalysis Psychologist
License Number
License Number State

VIII. Authorized Official

Name: TAMARA TENCER
Title or Position: PRESIDENT
Credential:
Phone: 773-243-4054