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Tara Gruenenfelder
NPI 1760658231 · on the registry since 2008
Practice
- Address
- 2040 Timberbrook Dr
Springfield, IL 62702 - Phone
- (217) 726-9438
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-05-05
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