Individual
TARA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 MIMOSA LN, ELK GROVE VILLAGE, IL 60007-4017
(773) 443-0408
Mailing address
251 MIMOSA LN, ELK GROVE VILLAGE, IL 60007-4017
(773) 443-0408
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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