Individual
TARA TABIBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611-2978
(312) 695-4447
(312) 695-5645
Mailing address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611-2978
(312) 695-4447
(312) 695-5645
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125083090
IL
2085R0202X
Diagnostic Radiology Physician
2023020827
MO
Other
Enumeration date
04/14/2023
Last updated
07/01/2024
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