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NPI Code Detail

MEDICARE: STAMMTISCH THERAPY LLC

MEDICARE: STAMMTISCH THERAPY LLC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1528905551
Entity Type Code : Organization
Provider Name (Legal Business Name) : STAMMTISCH THERAPY LLC
Provider Business Mailing Address
First Line : 213 W INSTITUTE PL STE 500
Second Line :
City : CHICAGO
State : IL
Zip : 60610-8792
Country : US
Telephone Number : 312-847-4421
Fax Number :
Provider Business Practice Location Address
First Line : 213 W INSTITUTE PL STE 500
Second Line :
City : CHICAGO
State : IL
Zip : 60610-8792
Country : US
Telephone Number : 312-847-4421
Fax Number :
Authorized Official
Title or Position : CEO. FOUNDER
Name : CAMERON STAMM
Credential : LMFT
Telephone Number : 312-847-4421
Provider Enumeration Date : 04/29/2026
Last Update Date : 04/29/2026

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Directions to “STAMMTISCH THERAPY LLC ” Practice Location

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