Atta, Tara
Atta, Tara is an individual health care provider with primary practice located at 225 N Milwaukee Ave , Vernon Hills IL 60061-4304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Atta, Tara can be contacted via phone (847) 444-5300.Contact Information
Primary practice address
225 N Milwaukee Ave
Vernon Hills IL 60061-4304
Phone: (847) 444-5300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036112076 | Illinois |
Profile Details
| NPI number | 1639166374 |
|---|---|
| LBN Legal business name | Atta, Tara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Apr 2nd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639166374 | NPPES |
| Illinois | Other | 10115504 | BLUE CROSS |
| Illinois | Other | CB0709 | BLUE CROSS |
| Illinois | Other | P00461924 | BLUE CROSS |
| Illinois | MEDICAID | 036112076 | BLUE CROSS |
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