Individual
TAMARA JEANNE GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15429 PINE DR, OAK FOREST, IL 60452-1622
(708) 921-0929
Mailing address
15429 PINE DR, OAK FOREST, IL 60452-1622
(708) 921-0929
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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