Conroy, Tara
Conroy, Tara is an individual health care provider with primary practice located at 1959 Waukegan Rd , Deerfield IL 60015-1897. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Conroy, Tara can be contacted via phone (224) 632-3334.Contact Information
Primary practice address
1959 Waukegan Rd
Deerfield IL 60015-1897
Phone: (224) 632-3334
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1898434 | Illinois |
Profile Details
| NPI number | 1457918435 |
|---|---|
| LBN Legal business name | Conroy, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2019 |
| Last updated | May 24th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457918435 | NPPES |
| Illinois | MEDICAID | 235Z00000X |
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