Gagner, Tara

Gagner, Tara is an individual health care provider with primary practice located at 1441 Branding Ave Ste 310 , Downers Grove IL 60515-5624. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gagner, Tara can be contacted via phone (630) 829-1038.

Contact Information

Primary practice address
1441 Branding Ave Ste 310 Downers Grove IL 60515-5624
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209-004820 Illinois

Profile Details

NPI number 1265472542
LBN Legal business name Gagner, Tara
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Sep 27th, 2022 - 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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