Individual provider · Type 1 NPI

Tyli Montanna Greathouse

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

NPI number 1417860925 Active

Practice location

1221 N Swift Rd
Addison, IL 60101-6105

Call (877) 751-7583 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X041.512727 (IL)

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 1417860925

Tyli Montanna Greathouse's National Provider Identifier is 1417860925, issued on Sep 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Addison, IL. The record was last updated on Sep 24, 2026.