NPI 1740059260
Tyler James Boutsikakis
Practice location
- Address
- 4 Cedar Ridge Dr STE a, Lake in the Hills, IL 60156-4712
- Phone
- (847) 458-2527
- Mailing address
- 131 Enterprise Rd, Johnstown, NY 12095-3326
Registered specialties
Hearing Instrument Specialist
Primary
Registry record
- NPI
- 1740059260
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Dec 2023
- Record last updated
- 26 Dec 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.