Search › Illinois › 101YA0400X
Michael Tucker, MS CADC
NPI 1962524793 · on the registry since 2007
Practice
- Address
- 748 Timbercreek Road
Dixon, IL 61021 - Phone
- (815) 284-3940
- Fax
- (815) 284-9267
- Organisation at this address
- Adult Education Associates
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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