Individual
TARINA RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1023 BURLINGTON AVE, WESTERN SPRINGS, IL 60558-1516
(708) 745-5277
Mailing address
1023 BURLINGTON AVE, WESTERN SPRINGS, IL 60558-1516
(708) 745-5277
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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