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Individual

DR. BISHER TARABISHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
430 PENNSYLVANIA AVE STE 110, GLEN ELLYN, IL 60137-4464
(630) 946-2020
(630) 432-6754
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-5263
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036129124
IL
2085R0202X
Diagnostic Radiology Physician
4301090120
MI
2085R0202X
Diagnostic Radiology Physician
ME114424
FL

Other

Enumeration date
07/23/2007
Last updated
10/08/2021
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