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1548996275
TYLER BASHAM
CHICAGO, IL
NPI
1548996275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2022-07-26
Last Update Date
2022-07-26
Business Address
TYLER BASHAM
333 N MICHIGAN AVE
CHICAGO, IL 60601-3901
Phone number: 312-815-9660
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Mailing Address
TYLER BASHAM
3146 N SOUTHPORT AVE
CHICAGO, IL 60657-9851
Phone number: 812-207-8712
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