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Search › Illinois › 106H00000X

Tyler Martawibawa

NPI 1548890635 · on the registry since 2020

Practice

Address
240 Edward St
Sycamore, IL 60178
Phone
(847) 707-2689
Organisation at this address
Wellspring Center For Counseling, Llc
Oakheart, Center For Counseling, Mediation, And Consultation, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
106H00000X
106H00000X
Sex
Male
Record last updated
2020-01-17

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