Individual
DR. JEFFRY A TYLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 MAPLE RD, SUITE 3309, JOLIET, IL 60432-1439
(815) 723-9351
(815) 723-9823
Mailing address
1200 MAPLE RD, SUITE 3309, JOLIET, IL 60432-1439
(815) 723-9351
(815) 723-9823
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-075820
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075820
—
IL
Enumeration date
03/10/2006
Last updated
07/08/2007
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