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Individual

ERICA TAYABAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
645 N MICHIGAN AVE, SUITE 530, CHICAGO, IL 60611-2826
(312) 695-7970
Mailing address
4303 N PAULINA ST APT 2, CHICAGO, IL 60613-2499
(630) 750-8459

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209009992
IL

Other

Enumeration date
03/21/2013
Last updated
03/21/2013
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