Stephen Tulley, DO

Internal Medicine Physician · Kankakee, IL

Individual Active NPI

NPI number 1629693726

Practice location

350 N Wall St
Kankakee, IL 60901-2991
Phone
(815) 933-1671

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NPI record

NPI
1629693726
Entity type
Individual (Type 1)
Enumeration date
June 15, 2020
Last updated
June 15, 2020
Certified
June 15, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X 125.076412 IL

About Dr. Tulley

Stephen Tulley, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 350 N Wall St, Kankakee, IL 60901-2991. The NPI number 1629693726 was assigned on June 15, 2020 and the record was last updated on June 15, 2020.

Dr. Tulley lists a license in the registry: #125.076412 (IL) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephen Tulley, DO?

The NPI number is 1629693726.

What is the phone number of Dr. Tulley?

The phone number listed for the practice location is (815) 933-1671.

Where is Dr. Tulley located?

350 N Wall St, Kankakee, IL 60901-2991.

What is the taxonomy code for Dr. Tulley?

The primary taxonomy code is 207R00000X – Internal Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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