| Tara Incopero Pc | |
|
381 N York St Suite 18 Elmhurst IL 60126-2342 | |
| (630) 796-4367 | |
| Not Available |
| Full Name | Tara Incopero Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 381 N York St, Elmhurst, Illinois |
| Authorized Official Name and Position | Tara Incopero (PRESIDENT) |
| Authorized Official Contact | 6308497042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Incopero Pc 381 N York St Suite 18 Elmhurst IL 60126-2342 Ph: (630) 796-4367 | Tara Incopero Pc 381 N York St Suite 18 Elmhurst IL 60126-2342 Ph: (630) 796-4367 |
| NPI Number | 1457891707 |
|---|---|
| Provider Enumeration Date | 03/06/2017 |
| Last Update Date | 03/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457891707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.018682 (Illinois) | Primary |
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