Individual
MRS. TYRA STOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
345 DIXIE HWY, CHICAGO HEIGHTS, IL 60411-1757
(888) 660-4425
Mailing address
20015 S LAGRANGE RD # 1328, FRANKFORT, IL 60423-3104
(708) 770-1162
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209026484
IL
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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