TARA MOJTAHED

CHICAGO, IL
NPI1831657881
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: IL  036.163801)
Additional Taxonomies207L00000X Anesthesiology
(Licence: IL  125.075889)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-08
Last Update Date2023-07-17
Business Address
TARA MOJTAHED
5841 S MARYLAND AVE # MC4028
CHICAGO, IL 60637-1443
Phone number: 773-702-0103
Mailing Address
TARA MOJTAHED
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150