Individual
MARIA TARALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1256
(630) 257-1111
(630) 257-1115
Mailing address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1290
(708) 923-5869
(708) 923-5859
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209018455
IL
363LF0000X
Family Nurse Practitioner
209.018455
IL
Other
Enumeration date
02/20/2019
Last updated
12/01/2021
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