Organization
EPMG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS ANDREW TIRPAK APN (FNP)
(708) 774-2484
Entity
Organization
Contact information
Practice address
3 ERIE COURT, OAK PARK, IL 60302
(708) 763-6747
Mailing address
2347 6TH AVE, NORTH RIVERSIDE, IL 60546
(708) 774-2484
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
209011610
IL
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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