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Individual

MS. TONYA LYNETTE GOLLAHALLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7447 W TALCOTT AVE STE 467, CHICAGO, IL 60631-3715
(630) 866-3636
(773) 692-2035
Mailing address
7447 W TALCOTT AVE STE 467, CHICAGO, IL 60631-3715
(630) 866-3636
(773) 692-2035

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.009747
IL
363A00000X
Physician Assistant
Primary
2733
OK

Other

Enumeration date
02/01/2017
Last updated
04/30/2026
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