Individual
TANYA FRESETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
111 N WABASH AVE, SUITE 600, CHICAGO, IL 60602-1903
(312) 332-0844
(312) 332-0847
Mailing address
111 N WABASH AVE, SUITE 600, CHICAGO, IL 60602-1903
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038.012102
IL
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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