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1871049635
TARA JANE DETHMERS
CHICAGO, IL
NPI
1871049635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: IL 209014778)
Enumeration Date
2016-08-31
Last Update Date
2024-07-12
Business Address
TARA JANE DETHMERS APRN, CNM
680 N LAKE SHORE DR STE 815
CHICAGO, IL 60611-4449
Phone number: 312-926-5521
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Mailing Address
TARA JANE DETHMERS APRN, CNM
680 N LAKE SHORE DR STE 815
CHICAGO, IL 60611-4449
Phone number: 312-926-5521
Copy
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