Individual
MS. TAYA JO FALLEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
676 N SAINT CLAIR ST, SUITE 880, CHICAGO, IL 60611-2927
(312) 695-0320
(312) 695-0318
Mailing address
2655 W CORTEZ ST, UNIT 2, CHICAGO, IL 60622-3416
(773) 505-4225
(312) 695-0318
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
ABMG/ABGC 2002373
IL
Other
Enumeration date
01/19/2006
Last updated
07/08/2007
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