Individual
TYLER JAMES LOUVIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1259 RICKERT DR STE 101, NAPERVILLE, IL 60540-8904
(630) 790-1872
(630) 355-3273
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1971
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-008020
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085-008020
LICENSE
IL
Enumeration date
07/08/2019
Last updated
07/24/2023
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