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1710719018
TIA CONSOLINO
BOURBONNAIS, IL
NPI
1710719018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-08-15
Last Update Date
2024-09-13
Business Address
TIA CONSOLINO
6712 N CONVENT ST
BOURBONNAIS, IL 60914-1528
Phone number: 815-928-8050
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Mailing Address
TIA CONSOLINO
900 RAND RD STE 300
DES PLAINES, IL 60016-2359
Phone number: 847-324-3976
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