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1598307258
TARA JOAN COUNTS
CHICAGO, IL
NPI
1598307258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.007317)
Enumeration Date
2019-10-15
Last Update Date
2022-11-07
Business Address
TARA JOAN COUNTS PA-C
225 E CHICAGO AVE
CHICAGO, IL 60611-2991
Phone number: 312-227-6190
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Mailing Address
TARA JOAN COUNTS PA-C
225 E CHICAGO AVE
CHICAGO, IL 60611-2991
Phone number: 312-227-6190
Copy
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