Individual
DR. DAVID TYSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
386 FOREST BLVD, PARK FOREST, IL 60466-2005
(708) 481-1715
(708) 481-8915
Mailing address
386 FOREST BLVD, PARK FOREST, IL 60466-2005
(708) 481-1715
(708) 481-8915
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1622660
BCBSIL
IL
Enumeration date
03/17/2006
Last updated
01/15/2008
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