Individual
TALENT THEPAREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-2730
Mailing address
2650 RIDGE AVE, STE 1304, EVANSTON, IL 60201-1718
(847) 570-1478
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
125066239
IL
Other
Enumeration date
06/24/2015
Last updated
01/18/2016
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