Search › Illinois › 367A00000X
Tara Dethmers, APRN, CNM
NPI 1871049635 · on the registry since 2016
Practice
- Address
- 680 N Lake Shore Dr Ste 815
Chicago, IL 60611 - Phone
- (312) 926-5521
- Fax
- (312) 926-8855
- Organisation at this address
- Androlab
Img Md, Llc
Walgreen Co
Telerapp Inc
Das Group LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 508
Additional practice sites
- 908 N Elm St Ste 303, Hinsdale, IL
Registry record
- Primary taxonomy
- 367A00000X
367A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-12
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