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Tara Piryaei
Student in an Organized Health Care Education/Training Program in Oak Lawn, Illinois
NPI 1154908812

Tara Piryaei is a Student in an Organized Health Care Education/Training Program based in Oak Lawn, IL. Tara Piryaei practices in Oak Lawn, IL. The NPI Number for Tara Piryaei is 1154908812 and holds a License No. 036.166682 (Illinois).

The current practice location address for Tara Piryaei is 9555 S 52Nd Ave, Oak Lawn, IL and can be reached out via phone at 708-422-5700 and via fax at 708-422-8225.

Location: 9555 S 52Nd Ave, Oak Lawn, IL, 60453-3054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154908812
Provider Name
Tara Piryaei
Credential
Provider Entity Type
Individual
Gender
Female
Address
9555 S 52Nd Ave, Oak Lawn, IL, 60453-3054
Phone Number
708-422-5700
Fax Number
708-422-8225
Provider Enumeration Date
03/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9555 S 52Nd Ave
City
Oak Lawn
State
Illinois
Zip
60453-3054
Phone Number
708-422-5700
Fax Number
708-422-8225
person
Provider Business Mailing Address Details
Address
9555 S 52Nd Ave
City
Oak Lawn
State
Illinois
Zip
60453-3054
Phone Number
708-422-5700
Fax Number
708-422-8225
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
036.166682 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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