Individual provider · Type 1 NPI
Melvin Thomas Tillman, PhD, MA
Professional Counselor · Chicago, IL
NPI number
1699063560
Active
Practice location
731 E 63rd St
Chicago, IL 60637-3448
Mailing address
700 E 61st St
Chicago, IL 60637-5375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180016155 (IL) |
Professional Counselor: Definition to come...
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About NPI 1699063560
Melvin Thomas Tillman, PhD, MA's National Provider Identifier is 1699063560, issued on Jul 13, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Jul 12, 2024.