Individual
MRS. TALLAT MAMOON BERKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
366 CORALYNN CT, WILLOWBROOK, IL 60527-1895
(630) 346-8470
Mailing address
366 CORALYNN CT, WILLOWBROOK, IL 60527-1895
(630) 346-8470
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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