Individual
DR. SARAH ALI TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
181 STONE LAKE DR, MAKANDA, IL 62958-2751
(708) 712-9554
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
266013-1
NY
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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