Tarah Galloway | |
901 Biesterfield Rd Ste 109 Elk Grove Village IL 60007-3392 | |
(847) 979-0025 | |
Not Available |
Full Name | Tarah Galloway |
---|---|
Speciality | Counselor - Professional |
Location | 901 Biesterfield Rd, Elk Grove Village, Illinois |
Authorized Official Name and Position | Tarah Michelle Galloway (OWNER) |
Authorized Official Contact | 8476304756 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tarah Galloway 721 Cambridge Dr Schaumburg IL 60193-2664 Ph: (847) 630-4756 | Tarah Galloway 901 Biesterfield Rd Ste 109 Elk Grove Village IL 60007-3392 Ph: (847) 979-0025 |
NPI Number | 1801251376 |
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Provider Enumeration Date | 12/28/2015 |
Last Update Date | 12/28/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801251376 | NPI | - | NPPES |
1063821049 | Other | IL | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180009166 (Illinois) | Primary |
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