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1023688728
MICHAEL ALAN TYLLAS
WILMETTE, IL
NPI
1023688728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149005514)
Enumeration Date
2021-06-26
Last Update Date
2021-06-26
Business Address
MICHAEL ALAN TYLLAS LCSW, Ph.D.
1500 SHERIDAN RD UNIT 5L
WILMETTE, IL 60091-1892
Phone number: 773-550-6022
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Mailing Address
MICHAEL ALAN TYLLAS LCSW, Ph.D.
1500 SHERIDAN RD UNIT 5L
WILMETTE, IL 60091-1892
Phone number: 773-550-6022
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