Individual
TAMMY MICHELLE PRATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3450 SARATOGA AVE, DOWNERS GROVE, IL 60515-1141
(630) 962-1528
Mailing address
3450 SARATOGA AVE, DOWNERS GROVE, IL 60515-1141
(630) 962-1528
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
041306578
IL
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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