Juiris, Tahira A
Juiris, Tahira A is an individual health care provider with primary practice located at 1840 Green Bay Rd , Highland Park IL 60035-3110. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Juiris, Tahira A can be contacted via phone (847) 984-5300.Contact Information
Primary practice address
1840 Green Bay Rd
Highland Park IL 60035-3110
Phone: (847) 984-5300
Fax: (847) 681-8313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036106084 | Illinois |
Profile Details
| NPI number | 1235114604 |
|---|---|
| LBN Legal business name | Juiris, Tahira A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Apr 17th, 2008 - about 16 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 | 1235114604 | NPPES |
| Illinois | MEDICAID | 036106084 |
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