Everett, Tyson

Everett, Tyson is an sole proprietor health care provider with primary practice located at 7122 S Vincennes Ave Ste B , Chicago IL 60621-3672. He recently has only one registered license in Agencies / Case Management, which is considered as his primary health care specialty. Everett, Tyson can be contacted via phone (773) 488-9460.

Contact Information

Primary practice address
7122 S Vincennes Ave Ste B Chicago IL 60621-3672
Phone: (773) 488-9460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X A-3249-0001 Illinois

Profile Details

NPI number 1255717385
LBN Legal business name Everett, Tyson
Credentials CSAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2015
Last updated Jul 30th, 2015 - about 11 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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