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KYNDRIA TISDALE
NPI 1548728686
Counselor - Mental Health in Chicago, IL

Active since March 07, 2019
641 W 63RD ST, CHICAGO, IL 60621(312) 550-6774 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kyndria Tisdale NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYNDRIA TISDALE (NPI 1548728686) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1548728686
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKYNDRIA TISDALE
Location Address641 W 63RD STChicago, IL 60621-2032
Mailing Address641 W 63rd StChicago, IL 60621-2032 · (312) 550-6774
Phone(312) 550-6774
Sole ProprietorNo
Enumeration DateMarch 7, 2019
✔ NPI 1548728686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
641 W 63RD ST, Chicago, IL 60621
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIERA BRYANT
Nurse Practitioner (Women's Health)
641 W 63RD ST
CHICAGO, IL 60621
Cook County (773) 388-1600
CORETTA J PRUITT
Case Manager/Care Coordinator
641 W 63RD ST
CHICAGO, IL 60621
Cook County (224) 531-7966
ADAM KULA RN
Registered Nurse (Community Health)
641 W 63RD ST
CHICAGO, IL 60621
Cook County (773) 388-1600
CITY OF CHICAGO
Clinic/Center (Adult Mental Health)
641 W 63RD ST, L33
CHICAGO, IL 60621
Cook County (312) 747-7496
HOWARD BROWN HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
641 W 63RD ST
CHICAGO, IL 60621
Cook County (773) 388-1600
JOANNE JONES LCSW
Social Worker (Clinical)
641 W 63RD ST, L33
CHICAGO, IL 60621
Cook County (312) 747-7496
WINNIE LIN
Pediatrics
641 W 63RD ST
CHICAGO, IL 60621
Cook County (312) 996-2000
JENINE LEE CHILES PSY.D.
Psychologist (Clinical)
641 W 63RD ST, SPECIALTY CLINIC, LOWER LEVEL
CHICAGO, IL 60621
Cook County (312) 745-0662

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyndria Tisdale's NPI number?

The NPI number for Kyndria Tisdale is 1548728686. It was assigned to this individual provider in the NPPES registry on March 7, 2019.

Where is Kyndria Tisdale located?

Kyndria Tisdale practices at 641 W 63rd St, Chicago, IL 60621. The listed phone number is (312) 550-6774.

What is Kyndria Tisdale's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kyndria Tisdale was last updated on March 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.