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

Kyle Justin Tam, BS

Individual provider Counselor · NPI 1114697422

Kyle Justin Tam, BS is a Counselor in Mattoon, Illinois. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

750 Broadway Ave E
Mattoon, IL 61938-4610
Phone: (217) 238-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1114697422
Entity typeIndividual (Type 1)
GenderMale
Credentials BS
Sole proprietorNo
NPI enumeratedSeptember 17, 2021
Last updated in NPPESSeptember 17, 2021
Certification dateSeptember 17, 2021

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