Individual provider · Type 1 NPI

Tyler James Halicek, MD

Diagnostic Radiology Physician · St. Louis, MO

NPI number 1699304014 Active

Practice location

510 S Kingshighway Blvd, Dept Radiology
St. Louis, MO 63110-1016

Call (314) 362-7200 Map

Fax (314) 747-4189

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X2025009572 (MO)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1699304014

Tyler James Halicek, MD's National Provider Identifier is 1699304014, issued on Apr 7, 2020. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in St. Louis, MO. The record was last updated on Jul 22, 2025.