Individual
MS. DIANE MARIE TYRRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TVI
Contact information
Practice address
245 W EXCHANGE ST STE 4, SYCAMORE, IL 60178-1495
(815) 895-9227
(815) 895-2971
Mailing address
943 TOWNSEND ST, SYCAMORE, IL 60178-2524
(815) 895-9764
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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