Tara Incopero PC
Social Worker, Clinical in Elmhurst, IL. Organization (NPI-2).
NPI number1457891707
StatusActive
Last updated in NPPESMar 6, 2017
Details
- NPI
- 1457891707
- Entity type
- Organization (NPI-2)
- Legal business name
- Tara Incopero PC
- Organization subpart
- No
- Enumeration date
- Mar 6, 2017
- Last updated
- Mar 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.018682 | IL | Yes |
Practice location
381 N York StSuite 18
Elmhurst, IL 60126-2342
Phone 630-796-4367
Mailing address
381 N York StSuite 18
Elmhurst, IL 60126-2342
Phone 630-796-4367
Authorized official
Tara Incopero
President
6308497042
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