Corcoran, Tara Funk
Corcoran, Tara Funk is an sole proprietor health care provider with primary practice located at 225 E Chicago Ave 2Nd Floor , Chicago IL 60611. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Corcoran, Tara Funk can be contacted via phone (312) 227-6082.Contact Information
Primary practice address
225 E Chicago Ave 2Nd Floor
Chicago IL 60611
Phone: (312) 227-6082
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4351045070 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | 036.159978 | Illinois |
Profile Details
| NPI number | 1609436427 |
|---|---|
| LBN Legal business name | Corcoran, Tara Funk |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2019 |
| Last updated | Jun 6th, 2023 - about 2 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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