Atta, Tara

Atta, Tara is an individual health care provider with primary practice located at 225 N Milwaukee Ave , Vernon Hills IL 60061-4304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Atta, Tara can be contacted via phone (847) 444-5300.

Contact Information

Primary practice address
225 N Milwaukee Ave Vernon Hills IL 60061-4304
Phone: (847) 444-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036112076 Illinois

Profile Details

NPI number 1639166374
LBN Legal business name Atta, Tara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Apr 2nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639166374 NPPES
Illinois Other 10115504 BLUE CROSS
Illinois Other CB0709 BLUE CROSS
Illinois Other P00461924 BLUE CROSS
Illinois MEDICAID 036112076 BLUE CROSS

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