Individual
TARA PESSETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2812 STOCKBERRY LN, WEST CHICAGO, IL 60185-5200
(630) 346-0690
Mailing address
2812 STOCKBERRY LN, WEST CHICAGO, IL 60185-5200
(630) 346-0690
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/27/2021
Last updated
07/12/2022
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