Malinowski, Tara

Malinowski, Tara is an individual health care provider with primary practice located at 207 Landmark Dr Ste A , Normal IL 61761-3195. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Malinowski, Tara can be contacted via phone (309) 268-3200.

Contact Information

Primary practice address
207 Landmark Dr Ste A Normal IL 61761-3195
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 209020267 Illinois

Profile Details

NPI number 1861035685
LBN Legal business name Malinowski, Tara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2019
Last updated Jun 9th, 2021 - about 4 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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