Individual
TARA FUNK CORCORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-5150
(847) 723-2083
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
036.159978
IL
208000000X
Pediatrics Physician
4351045070
MI
Other
Enumeration date
06/14/2019
Last updated
09/29/2025
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