Individual
LORI TARCHALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 W PHEASANT TRL, LAKE IN THE HILLS, IL 60156-5618
(847) 508-4626
Mailing address
8 WEST PHEASANT TRAIL, LAKE IN THE HILLS, IL 60156
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
160.003650
IL
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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