Healthcare Provider Details

I. General information

NPI: 1083429013
Provider Name (Legal Business Name): KATHRYN TUNE LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2025
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 MANCHESTER RD STE 1420
WHEATON IL
60187-4534
US

IV. Provider business mailing address

2100 MANCHESTER RD STE 1420
WHEATON IL
60187-4534
US

V. Phone/Fax

Practice location:
  • Phone: 630-940-6828
  • Fax:
Mailing address:
  • Phone: 630-940-6828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT.0002786
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: