TARA BANICK

LIBERTYVILLE, IL
NPI1972543171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-012763)
Enumeration Date2006-06-07
Last Update Date2021-06-01
Business Address
TARA BANICK PT
1757 NORTHWIND BLVD
LIBERTYVILLE, IL 60048-9617
Phone number: 224-206-0200
Mailing Address
TARA BANICK PT
33900 HARPER AVE STE 104
CLINTON TWP, MI 48035-4258
Phone number: 586-350-2644
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