Healthcare Provider Details

I. General information

NPI: 1417863150
Provider Name (Legal Business Name): UNA TARBUK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28W671 GARYS MILL RD
WINFIELD IL
60190-1564
US

IV. Provider business mailing address

5652 N MILTIMORE AVE
CHICAGO IL
60646-6312
US

V. Phone/Fax

Practice location:
  • Phone: 630-293-9860
  • Fax:
Mailing address:
  • Phone: 847-754-5254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number781023402
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: