TARA DETHMERS

OAK PARK, IL
NPI1871049635
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: IL  209014778)
Enumeration Date2016-08-31
Last Update Date2021-03-30
Business Address
TARA DETHMERS CNM
715 LAKE ST #273
OAK PARK, IL 60301-1422
Phone number: 708-848-3800
Mailing Address
TARA DETHMERS CNM
715 LAKE ST #273
OAK PARK, IL 60301-1422
Phone number: 708-848-3800