SearchIllinois1223S0112X

Tyler Shank

NPI 1861319261 · on the registry since 2026

Practice

Address
601 E University Ave
Urbana, IL 61802
Phone
(217) 383-3311

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-06

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