Individual
TACHANDRA OHEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 W 83RD ST, CHICAGO, IL 60620-4623
(773) 993-7536
Mailing address
1740 W 83RD ST, CHICAGO, IL 60620-4623
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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