Suntum, Tara Katherine
Suntum, Tara Katherine is an individual health care provider with primary practice located at 5841 S Maryland Ave # Mc4060 , Chicago IL 60637-1447. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Suntum, Tara Katherine can be contacted via phone (773) 702-8547.Contact Information
Primary practice address
5841 S Maryland Ave # Mc4060
Chicago IL 60637-1447
Phone: (773) 702-8547
Fax: (773) 702-1196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036.142319 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036.142319 | Illinois |
Profile Details
| NPI number | 1194162032 |
|---|---|
| LBN Legal business name | Suntum, Tara Katherine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2013 |
| Last updated | Jul 21st, 2022 - 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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