Organization
GHABRA & TARSHA MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANA TARSHA MD (OWNER PHYSICIAN)
(312) 770-3813
Entity
Organization
Contact information
Practice address
2222 W DIVISION ST, SUITE 330, CHICAGO, IL 60622-2717
(312) 770-3813
Mailing address
PO BOX 967, TINLEY PARK, IL 60477-0967
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001620115
BC/BS
IL
Enumeration date
05/23/2007
Last updated
07/16/2008
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