Fallen, Taya Jo

Fallen, Taya Jo is an individual health care provider with primary practice located at 676 N Saint Clair St Suite 880, Chicago IL 60611-2927. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. Fallen, Taya Jo can be contacted via phone (312) 695-0320.

Contact Information

Primary practice address
676 N Saint Clair St Suite 880 Chicago IL 60611-2927
Phone: (312) 695-0320
Fax: (312) 695-0318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Genetic Counselor, MS 170300000X ABMG/ABGC 2002373 Illinois

Profile Details

NPI number 1720068323
LBN Legal business name Fallen, Taya Jo
Credentials MS, CGC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jul 8th, 2007 - about 19 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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