Individual
CHARLA TABET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1843 W CUYLER AVE # 1, CHICAGO, IL 60613-2401
(630) 269-2159
(773) 525-0840
Mailing address
1843 W CUYLER AVE # 1, CHICAGO, IL 60613-2401
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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