Organization
BEGINNERS DEPOOT ECE CONSULTING
Active
Other names
Tywanda Jiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYWANDA M JILES EDD, DT (EXECUTIVE DIRECTOR)
(773) 710-6897
Entity
Organization
Contact information
Practice address
346 W 113TH ST, CHICAGO, IL 60628-4137
(773) 495-5152
Mailing address
346 W 113TH ST, CHICAGO, IL 60628-4137
(773) 495-5152
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
TJ35590103P
IL
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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