Individual
TARA C EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2009 W ARGYLE ST # 1, CHICAGO, IL 60625-1312
(773) 988-6629
Mailing address
2009 W ARGYLE ST # 1, CHICAGO, IL 60625-1312
(773) 988-6629
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
70013383
IL
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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