Healthcare Provider Details

I. General information

NPI: 1639019532
Provider Name (Legal Business Name): UNITED COMPLIANCE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 N MICHIGAN AVE STE 810
CHICAGO IL
60601-5902
US

IV. Provider business mailing address

205 N MICHIGAN AVE STE 810
CHICAGO IL
60601-5902
US

V. Phone/Fax

Practice location:
  • Phone: 312-426-1562
  • Fax: 855-515-7155
Mailing address:
  • Phone: 312-426-1562
  • Fax: 855-515-7155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DEANGELO TYLER
Title or Position: COUNSELOR - ADDICTION
Credential: CADC
Phone: 312-426-1562