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Tirrell Livingston
NPI 1952688111 · on the registry since 2011 · sole proprietor
Practice
- Address
- 7544 S Stony Island Ave
Chicago, IL 60649 - Phone
- (773) 667-6959
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183700000X
183700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-11-15
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