Individual
TAISHA WORLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2745 BRISTOL DR, LISLE, IL 60532-4215
(773) 744-2043
Mailing address
2745 BRISTOL DR, LISLE, IL 60532-4215
(773) 744-2043
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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