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Individual

DR. TARA ATTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
225 N MILWAUKEE AVE, VERNON HILLS, IL 60061-4304
(847) 444-5300
Mailing address
225 N MILWAUKEE AVE, VERNON HILLS, IL 60061-4304
(847) 444-5300

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036112076
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036112076
IL
01
10115504
BLUE CROSS
IL
01
CB0709
RRMEDICARE
GA
01
P00461924
RRMEDICARE
GA
Enumeration date
09/27/2005
Last updated
04/02/2021
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