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NPI Code Detail

MEDICARE: DR. TARA L WORRON D.C.

MEDICARE: DR. TARA L WORRON D.C.
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
1111N00000XChiropractor038008826IL

General Provider Information

NPI Number : 1902804255
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TARA L WORRON D.C.
Provider Business Mailing Address
First Line : 2842 ROUTE 34
Second Line :
City : OSWEGO
State : IL
Zip : 60543-8346
Country : US
Telephone Number : 630-554-9323
Fax Number : 630-554-9328
Provider Business Practice Location Address
First Line : 2842 ROUTE 34
Second Line :
City : OSWEGO
State : IL
Zip : 60543-8346
Country : US
Telephone Number : 630-554-9323
Fax Number : 630-554-9328
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 10/05/2020

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Directions to “ DR. TARA L WORRON D.C.” Practice Location

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