Lykowski, Tara A

Lykowski, Tara A is an individual health care provider with primary practice located at 7447 W Talcott Ave Suite 500 Northwest Orthopaedic Associates Ltd, Chicago IL 60631-3745. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Lykowski, Tara A can be contacted via phone (773) 631-7898.

Contact Information

Primary practice address
7447 W Talcott Ave Suite 500 Northwest Orthopaedic Associates Ltd Chicago IL 60631-3745
Phone: (773) 631-7898
Fax: (773) 631-3005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085002397 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 05500339 Illinois

Profile Details

NPI number 1023092319
LBN Legal business name Lykowski, Tara A
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Feb 4th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023092319 NPPES
Illinois Other 0021604007 BLUE SHIELD OF ILLINOIS

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