Individual
TAHIRA JOAKIMA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4220 W 95TH ST STE 100, OAK LAWN, IL 60453-3072
(708) 398-0287
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-158103
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2019
Last updated
06/21/2022
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