MEDICARE: ELIZABETH TYRPAK M.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	180.011740	IL

General Provider Information

NPI Number	:	1851846414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH TYRPAK M.A.

Provider Business Mailing Address
First Line	:	2501 CHATHAM RD STE 6113
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62704-4188
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1825 N DAYTON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-5002
Country	:	US
Telephone Number	:	269-876-9671
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2016
Last Update Date	:	11/13/2025

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