Search › Illinois › 152W00000X
Tyler Doersam, O.D
NPI 1417365123 · on the registry since 2014 · sole proprietor
Practice
- Address
- 118 Lakeside Dr
Apt 434
Saint Charles, IL 60174 - Phone
- (815) 821-3088
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-03-11
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