Tyler Boutsikakis

NPI 1740059260 · on the registry since 2023

Practice

Address: 4 Cedar Ridge Dr Ste A
Lake In The Hills, IL 60156
Phone: (847) 458-2527
Organisation at this address: Chicago Hearing Llc
Wibicki Family Dental Pc
Central States Imaging Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 237700000X
237700000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-12-26

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