Individual
MRS. ANA MARIA TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5944 W 64TH ST, CHICAGO, IL 60638-5412
(312) 543-4354
Mailing address
5944 W 64TH ST, CHICAGO, IL 60638-5412
(312) 543-4354
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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