Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK TYSON, PARAMEDIC
Active Sole ProprietorMARK TYSON, PARAMEDIC is a Ambulance healthcare provider located in LOVES PARK, Illinois. NPI 1720449713 is currently active in the NPPES registry. Verify at CMS.
Ambulance · LOVES PARK, IL
Registration Details
- NPI Number
- 1720449713
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 17, 2016 (10.434557818538 yrs)
- Last Updated
- May 19, 2016
- License
-
060204401 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1007 E HOSMER STLOVES PARK, IL, 611114164Browse IL providers · Browse ZIP 61111
- Phone
- 8155053246
- Primary Specialty
-
Ambulance
341600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.