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NPI Code Detail

MEDICARE: RE-TUNE PSYCHOLOGICAL AND CONSULTATION SERVICES PLLC

MEDICARE: RE-TUNE PSYCHOLOGICAL AND CONSULTATION SERVICES PLLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist

General Provider Information

NPI Number : 1386590453
Entity Type Code : Organization
Provider Name (Legal Business Name) : RE-TUNE PSYCHOLOGICAL AND CONSULTATION SERVICES PLLC
Provider Business Mailing Address
First Line : 47 W POLK ST STE 100
Second Line : MB116
City : CHICAGO
State : IL
Zip : 60605-2085
Country : US
Telephone Number : 872-216-0157
Fax Number :
Provider Business Practice Location Address
First Line : 47 W POLK ST
Second Line :
City : CHICAGO
State : IL
Zip : 60605-2000
Country : US
Telephone Number : 872-216-0157
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : JOYCE KONADU MANSAH FOKUO
Credential : PHD
Telephone Number : 872-216-0157
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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