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1326190901
TARA DENISE YATES
CHICAGO, IL
NPI
1326190901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: IL 056.006761)
Enumeration Date
2007-01-17
Last Update Date
2007-07-08
Business Address
Ms. TARA DENISE YATES OT
E 65TH ST AT LAKE MICHIGAN
CHICAGO, IL 60649-1395
Phone number: 773-256-5799
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Mailing Address
Ms. TARA DENISE YATES OT
9141 S UTICA AVE
EVERGREEN PARK, IL 60805-1722
Phone number: 708-423-2793
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