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Organization
TARA TODD FARRIS LLC
Active
Organization
TARA TODD FARRIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA TODD FARRIS (OWNER/OPERATOR)
(773) 960-6607
Entity
Organization
Contact information
Practice address
3614 N HOYNE AVE, CHICAGO, IL 60618-4917
(773) 960-6607
Mailing address
3614 N HOYNE AVE, CHICAGO, IL 60618-4917
(773) 960-6607
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.001037
IL
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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