Individual provider · Type 1 NPI

Tyler David Agnew

Family Medicine Physician · Great Lakes, IL

NPI number 1598239808 Active

Practice location

3420 Illinois St
Great Lakes, IL 60088-3161

Call (847) 688-6577 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X0101270164 (VA)
Family Medicine Physician Primary 207Q00000X0101270164 (VA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1598239808

Tyler David Agnew's National Provider Identifier is 1598239808, issued on Jan 20, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Great Lakes, IL. The record was last updated on Feb 4, 2025.