Individual
TARA E DORDEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1550 W CARROLL AVE STE 210, CHICAGO, IL 60607-1035
(847) 675-1400
Mailing address
1550 W CARROLL AVE STE 210, CHICAGO, IL 60607-1035
(847) 675-1400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006750
IL
Other
Enumeration date
04/15/2019
Last updated
03/16/2026
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