Individual
TYNETTA MAGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
15 FORESTDALE PARK, CALUMET CITY, IL 60409-5308
(708) 487-6556
(708) 933-3470
Mailing address
3770 W 91ST CT, MERRILLVILLE, IN 46410-5935
(219) 973-3844
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
09-270
IN
Other
Enumeration date
09/24/2009
Last updated
01/13/2016
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