Tyler Psychological Services, L.l.c. | |
1010 Lake St Ste 616 Oak Park IL 60301 | |
(708) 714-7616 | |
Not Available |
Full Name | Tyler Psychological Services, L.l.c. |
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Speciality | Psychologist |
Location | 1010 Lake St Ste 616, Oak Park, Illinois |
Authorized Official Name and Position | Kristen Tyler (OWNER, PSYCHOLOGIST) |
Authorized Official Contact | 7087147616 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tyler Psychological Services, L.l.c. 1010 Lake St Ste 616 Oak Park IL 60301-1136 Ph: () - | Tyler Psychological Services, L.l.c. 1010 Lake St Ste 616 Oak Park IL 60301 Ph: (708) 714-7616 |
NPI Number | 1275019507 |
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Provider Enumeration Date | 07/19/2018 |
Last Update Date | 07/23/2018 |
Identifier | Type | State | Issuer |
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1275019507 | NPI | - | NPPES |
1881028603 | Other | IL | BLUE CROSS BLUE SHIELD OF ILLINOIS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 071.009177 (Illinois) | Primary |
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