Individual
MS. TIARA DAMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
9449 S KEDZIE AVE, SUITE 212, EVERGREEN PARK, IL 60805-2325
(773) 445-2195
(773) 445-2195
Mailing address
9449 S KEDZIE AVE, SUITE 212, EVERGREEN PARK, IL 60805-2325
(773) 445-2195
(773) 445-2195
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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