Pride, Tamara A.

Pride, Tamara A. is an individual health care provider with primary practice located at 820 E Terra Cotta Ave Ste 125 , Crystal Lake IL 60014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Pride, Tamara A. can be contacted via phone (815) 455-4434.

Contact Information

Primary practice address
820 E Terra Cotta Ave Ste 125 Crystal Lake IL 60014
Phone: (815) 455-4434
Fax: (815) 455-4593
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085001795 Illinois

Profile Details

NPI number 1649494691
LBN Legal business name Pride, Tamara A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated May 24th, 2018 - about 7 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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