Corcoran, Tara Funk

Corcoran, Tara Funk is an sole proprietor health care provider with primary practice located at 225 E Chicago Ave 2Nd Floor , Chicago IL 60611. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Corcoran, Tara Funk can be contacted via phone (312) 227-6082.

Contact Information

Primary practice address
225 E Chicago Ave 2Nd Floor Chicago IL 60611
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4351045070 Michigan
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 036.159978 Illinois

Profile Details

NPI number 1609436427
LBN Legal business name Corcoran, Tara Funk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2019
Last updated Jun 6th, 2023 - 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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