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Individual

MRS. TARA ANN DRISCOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1501 BUSCH PKWY, BUFFALO GROVE, IL 60089-2686
(847) 419-7150
Mailing address
1208 SHEFIELD AVE, MUNDELEIN, IL 60060-1047
(847) 975-3367

Taxonomy

Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
070016251
IL

Other

Enumeration date
06/21/2010
Last updated
06/21/2010
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