SearchIllinois1041C0700X

Austin Tyus-Michalak, LCSW

NPI 1932748506 · on the registry since 2019 · sole proprietor

Practice

Address
597 Pine Grove Ave
Gurnee, IL 60031
Phone
(847) 440-6785

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Sex
Male
Record last updated
2019-12-31

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