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Kelly Baker Tyson

NPI 1922912468 · on the registry since 2026 · sole proprietor

Practice

Address
175 E Hawthorn Pkwy Ste 155
Vernon Hills, IL 60061
Phone
(847) 847-4977
Organisation at this address
Kevin Bradley, Lcsw, P.C.
Phc Of Buffalo Grove Nutrition
Ag Behavioral Health And Consulting Llc
Phc Of Buffalo Grove Clinical Psychology
Inferred from a shared address, not stated in the registry.
Clinicians at this address
56

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-10-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois