Individual
MS. HEATHER MICHELLE TARASKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
2213 W. BELDEN AVE., CHICAGO, IL 60647
(773) 519-1573
Mailing address
2213 W. BELDEN AVE., CHICAGO, IL 60647
(773) 519-1573
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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