Tywanda Jiles

NPI 1992912703 - Developmental Therapist - 222Q00000X

NPI Details
NPI 1992912703
Gender Female
Enumeration Date 05/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
346 W 113TH ST
CHICAGO IL, 60628-4137, US
Phone (708) 507-5511
Fax (708) 757-7145
Business Location
346 W 113TH ST
CHICAGO IL, 60628-4137, US
Phone (708) 507-5511
Fax (708) 757-7145
Toxanomy
Taxonomy Code 222Q00000X
License State
License Number
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According to our database, Tywanda Jiles NPI is 1992912703, taxonomy code is 222Q00000X Tywanda Jiles physically located at 346 W 113th St, Chicago IL, 60628-4137. NPI Number Tywanda Jiles has the Individual type.

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1992912703 NPI number is provided on an as is basis without warranty of any kind. 1992912703 is maintained by the National Plan & Provider Enumeration System. The contents of Tywanda Jiles are for informational purposes only.