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NPI Code Detail

MEDICARE: MONA TAREEN M.D.

MEDICARE:   MONA  TAREEN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0300XGeriatric Medicine (Internal Medicine) Physician036-112538IL

General Provider Information

NPI Number : 1558386581
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONA TAREEN M.D.
Provider Business Mailing Address
First Line : 1725 W HARRISON ST
Second Line : SUITE 319
City : CHICAGO
State : IL
Zip : 60612-3841
Country : US
Telephone Number : 312-942-7030
Fax Number :
Provider Business Practice Location Address
First Line : 250 WATER STONE CIR
Second Line :
City : JOLIET
State : IL
Zip : 60431-8313
Country : US
Telephone Number : 815-740-4104
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 04/17/2024

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