Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tywanda Jiles, MFT-IT

Individual provider Developmental Therapist · NPI 1992912703

Dr. Tywanda Jiles, MFT-IT is a Developmental Therapist in Burnham, Illinois. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2007
Specialties on file
2

Practice location Address checks out

14540 S Marquette Ave
Burnham, IL 60633-2007
Phone: (737) 710-6897
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 1130-228 (WI)
Developmental Therapist Taxonomy 222Q00000X

Record details

NPI number1992912703
Entity typeIndividual (Type 1)
GenderFemale
Credentials MFT-IT
Sole proprietorYes
NPI enumeratedMay 17, 2007
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025
Mailing address14540 S Marquette Ave, Burnham, IL 60633-2007

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