Individual provider · Type 1 NPI
Tyler Huang
Student in an Organized Health Care Education/Training Program · Deer Park, IL
NPI number
1053290684
Active
Practice location
21660 W Field Pkwy
Deer Park, IL 60010-7265
Mailing address
215 E Chestnut St Apt 801
Chicago, IL 60611-6714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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- Dominno Caroline Fogle, M.M.S., PA-CMedical Physician Assistant Deer Park, IL NPI 1255615365
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- Irina Frenkel, MSN, FNP-BCFamily Nurse Practitioner Deer Park, IL NPI 1194114223
- John Travis Thompson, DDSOral and Maxillofacial Surgery (Dentist) Deer Park, IL NPI 1558324459
- Kelsey L. Proehl, FNP-BCFamily Nurse Practitioner Deer Park, IL NPI 1699315697
About NPI 1053290684
Tyler Huang's National Provider Identifier is 1053290684, issued on Aug 28, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Deer Park, IL. The record was last updated on Aug 28, 2025.