Organization · Type 2 NPI

Tinley Woods

Specialist · Oak Lawn, IL

NPI number 1588847784 Active

Practice location

10500 S Cicero Ave
Oak Lawn, IL 60453-5205

Fax (708) 424-1395

Mailing address

18210 La Grange Rd, Suite 201
Tinley Park, IL 60487-7722

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1588847784

Tinley Woods's National Provider Identifier is 1588847784, issued on Dec 11, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oak Lawn, IL. The record was last updated on Dec 11, 2007.