Dethmers, Tara Jane

Dethmers, Tara Jane is an individual health care provider with primary practice located at 680 N Lake Shore Dr Ste 815 , Chicago IL 60611-4449. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Dethmers, Tara Jane can be contacted via phone (312) 926-5521.

Contact Information

Primary practice address
680 N Lake Shore Dr Ste 815 Chicago IL 60611-4449
Phone: (312) 926-5521
Fax: (312) 926-8855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209014778 Illinois

Profile Details

NPI number 1871049635
LBN Legal business name Dethmers, Tara Jane
Credentials APRN, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2016
Last updated Jul 12th, 2024 - 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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