| Mie Tamura | |
|
2110 Warren St Evanston IL 60202-1954 | |
| (773) 401-8699 | |
| Not Available |
| Full Name | Mie Tamura |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2110 Warren St, Evanston, Illinois |
| Authorized Official Name and Position | Mie Tamura (THERAPIST) |
| Authorized Official Contact | 7734018699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mie Tamura 2110 Warren St Evanston IL 60202-1954 Ph: (773) 401-8699 | Mie Tamura 2110 Warren St Evanston IL 60202-1954 Ph: (773) 401-8699 |
| NPI Number | 1912448135 |
|---|---|
| Provider Enumeration Date | 03/20/2017 |
| Last Update Date | 03/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912448135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 180.007566 (Illinois) | Primary |
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