Individual
TYSON E MAGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
(217) 547-9236
Mailing address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
(217) 547-9236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.604612
IL
163WE0003X
Emergency Registered Nurse
28282759A
IN
363L00000X
Nurse Practitioner
Primary
209.036034
IL
Other
Enumeration date
09/03/2025
Last updated
07/24/2026
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