TYLER BASHAM

CHICAGO, IL
NPI1548996275
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
Enumeration Date2022-07-26
Last Update Date2022-07-26
Business Address
TYLER BASHAM
333 N MICHIGAN AVE
CHICAGO, IL 60601-3901
Phone number: 312-815-9660
Mailing Address
TYLER BASHAM
3146 N SOUTHPORT AVE
CHICAGO, IL 60657-9851
Phone number: 812-207-8712