Individual
TARYN DEGENEFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 BARRINGTON RD BLDG 1, HOFFMAN ESTATES, IL 60169-1099
(847) 843-2000
Mailing address
2215 AURORA DR UNIT 1, PINGREE GROVE, IL 60140-6434
(773) 612-5398
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041453171
IL
163W00000X
Registered Nurse
25558730
WI
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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