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

Tyus Temple

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083315212

Tyus Temple is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

5145 N California Ave
Chicago, IL 60625-3661
Phone: (773) 989-3803
Show map & directions

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

Additional practice locations (1)

  • 191 W Union St, Athens, OH 45701-2732 — (740) 593-2500

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1083315212
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 14, 2023
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024
Mailing address5145 N California Ave, Chicago, IL 60625-3661

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