Individual
DR. TARA KRISTEN MAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MS LCGC
Contact information
Practice address
1801 W TAYLOR ST, CHICAGO, IL 60612-4795
(312) 355-3493
Mailing address
840 S WOOD ST, CHICAGO, IL 60612-4325
(202) 320-7987
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
246.000202
IL
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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