Search › Illinois › 104100000X
Tyler Koontz, LSW
NPI 1649699786 · on the registry since 2014
Practice
- Address
- 309 W Clark St
Champaign, IL 61820 - Phone
- (217) 398-9066
- Clinicians at this address
- 38
Additional practice sites
- 801 N Walnut St, Champaign, IL
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Sex
- Male
- Record last updated
- 2020-05-07
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