Search › Illinois › 222Q00000X
Tara Einsweiler-Mickelson
NPI 1477941086 · on the registry since 2015 · sole proprietor
Practice
- Address
- 7289 Hickory Ct
East Dubuque, IL 61025 - Phone
- (815) 747-2646
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-01-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois