Individual
TYLER CHASE SYLVESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., ATC/L
Contact information
Practice address
2255 CAMPUS DR, EVANSTON, IL 60208-1928
(904) 633-6565
Mailing address
2255 CAMPUS DR, EVANSTON, IL 60208-1928
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004410
IL
Other
Enumeration date
10/25/2016
Last updated
06/24/2020
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