Organization
TAMARA PIKE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA PIKE (PRESIDENT)
(708) 363-0791
Entity
Organization
Contact information
Practice address
13028 BLUE GRASS DR, LEMONT, IL 60439-4561
(708) 363-0791
Mailing address
13028 BLUE GRASS DR, LEMONT, IL 60439-4561
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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