Individual
TYLER MICHAEL BURRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
520 N RIDGEWAY AVE, CHICAGO, IL 60624-1232
(773) 265-3700
Mailing address
4911 N GLENWOOD AVE APT 1A, CHICAGO, IL 60640-3534
(740) 630-4973
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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