TARA MALINOWSKI

NORMAL, IL
NPI1861035685
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: IL  209020267)
Enumeration Date2019-10-24
Last Update Date2021-06-09
Business Address
TARA MALINOWSKI
207 LANDMARK DR STE A
NORMAL, IL 61761-3195
Phone number: 309-268-3200
Mailing Address
TARA MALINOWSKI
611 W. PARK ST FAPC
URBANA, IL 61801
Phone number: