Taras, Angie Rosanne

Taras, Angie Rosanne is an individual health care provider with primary practice located at 2350 Ravine Way 400, Glenview IL 60025-7621. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Taras, Angie Rosanne can be contacted via phone (312) 715-7552.

Contact Information

Primary practice address
2350 Ravine Way 400 Glenview IL 60025-7621
Phone: (312) 715-7552
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 55873-20 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 55873-20 Wisconsin

Profile Details

NPI number 1841410479
LBN Legal business name Taras, Angie Rosanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Oct 18th, 2019 - about 6 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 1841410479 NPPES
Indiana MEDICAID 201083390A

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