Individual
MR. JAMES M TYRRELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
1323 W DIVERSEY PKWY, CHICAGO, IL 60614-1207
(773) 549-2520
Mailing address
4447 N MALDEN ST, CHICAGO, IL 60640-5683
(773) 561-1301
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
96001264
IL
Other
Enumeration date
10/04/2005
Last updated
07/08/2007
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