SearchIllinois103K00000X

Taragene Martin

NPI 1861938326 · on the registry since 2017

Practice

Address
1921 W Melrose St
Chicago, IL 60657
Phone
(708) 408-0317

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-01-09

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