Individual
DR. BENJAMIN DAVID TYRRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1580 SHERMAN AVE, PH04, EVANSTON, IL 60201-4465
(847) 644-4290
Mailing address
1580 SHERMAN AVE, PH04, EVANSTON, IL 60201-4465
(847) 644-4290
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
IL
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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