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Tara White

NPI 1528710753 · on the registry since 2022

Practice

Address
820 S Damen Ave
Chicago, IL 60612
Phone
(312) 569-7415
Organisation at this address
Chicago Vamc
Chicago Vamc
Chicago Vamc
Jesse Brown Va
Jesse Brown Va
Inferred from a shared address, not stated in the registry.
Clinicians at this address
639

Registry record

Primary taxonomy
225C00000X
225C00000X
Also registered as
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-19

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