Individual
CAMERON HENRY TABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
332 S MICHIGAN AVE, CHICAGO, IL 60604-4434
(855) 832-6727
Mailing address
17 N 105 MARNEY DRIVE, HAMPSHIRE, IL 60140-1656
(847) 707-4382
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
06/30/2023
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