Individual
MRS. KAREN BETH TAGTMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
391 S BOLINGBROOK DR, BOLINGBROOK, IL 60440-3411
(630) 226-1006
(630) 226-9003
Mailing address
PO BOX 544, DEPT 5390, MILWAUKEE, WI 53201-0544
(815) 713-2600
(815) 654-8020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.003160
IL
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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