Individual
DORA REBECCA TABACHNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-2600
Mailing address
2333 N SOUTHPORT AVE APT 2, CHICAGO, IL 60614-8428
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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