Individual
TARA GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 159TH ST, CALUMET CITY, IL 60409-5325
(630) 747-5185
Mailing address
403 159TH ST, CALUMET CITY, IL 60409-5325
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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