Individual
DIANE TATTEGRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 W GREENLEAF AVE, CHICAGO, IL 60626-2805
(773) 999-0932
Mailing address
18560 CEDAR AVE, COUNTRY CLUB HILLS, IL 60478-4597
(773) 677-1752
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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