Dr. Charles Tipton's National Provider Identifier (NPI) Details
Dr. Charles Tipton, MS, LCPC
NPI: 1255628038
Enumeration Date: 2011-06-30
Last updated: 2011-07-19
Sole Proprietor: YES
Status: active
Postal Address: 2528 N LINCOLN AVE, SUITE 116, CHICAGO, IL
Phone: 312-371-4095
Primary Practice Address: 1809 W GRAND AVE, CHICAGO, IL
Practice's phone: 312-371-4095