SearchIllinois106H00000X

Tywanda Jiles, MFT-IT,

NPI 1992912703 · on the registry since 2007 · sole proprietor

Practice

Address
14540 S Marquette Ave
Burnham, IL 60633
Phone
(737) 710-6897

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
222Q00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-13

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