Individual
TANYA YOUNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.T
Contact information
Practice address
2425 W PRATT BLVD, CHICAGO, IL 60645-4665
(773) 338-5437
Mailing address
3815 W MORSE AVE, LINCOLNWOOD, IL 60712-2535
(847) 334-0944
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
TY83521106P
IL
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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