Individual provider · Type 1 NPI

Tyus Temple

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1083315212 Active · reactivated Jun 18, 2024

Practice location

5145 N California Ave
Chicago, IL 60625-3661

Call (773) 989-3803 Map

Other practice locations

  • 191 W Union St, Athens, OH 45701-2732 · (740) 593-2500

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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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About NPI 1083315212

Tyus Temple's National Provider Identifier is 1083315212, issued on Mar 14, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Jun 18, 2024.