Individual
TRACY LYNN TILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
65 E WACKER PL, 2240, CHICAGO, IL 60601-7296
(312) 621-9002
Mailing address
858 N FRANKLIN ST APT 501, CHICAGO, IL 60610-3177
(312) 213-4660
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071007798
IL
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
06/20/2007
Last updated
11/21/2019
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