Tylman, Peter

Tylman, Peter is an individual health care provider with primary practice located at 1620 N La Salle Dr , Chicago IL 60614-6005. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Tylman, Peter can be contacted via phone (312) 943-3600.

Contact Information

Primary practice address
1620 N La Salle Dr Chicago IL 60614-6005
Phone: (312) 943-3600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160002073 Illinois

Profile Details

NPI number 1336273580
LBN Legal business name Tylman, Peter
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Nov 24th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336273580 NPPES
Illinois MEDICAID 103034

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