Individual
ABDEL KADER TAHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2500
(217) 383-3110
(217) 244-0621
Mailing address
611 W PARK ST, URBANA, IL 61801-2500
(217) 383-3110
(217) 244-0621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125054782
IL
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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