SearchIllinois101YM0800X

Shane Tytenicz

NPI 1245753847 · on the registry since 2017 · sole proprietor

Practice

Address
40 E Delaware Pl
Unit 1601
Chicago, IL 60611
Phone
(224) 307-4697
Organisation at this address
Erahealth, Llc Dba Veteran'S Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2020-09-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois