Troy, Tara N

Troy, Tara N is an individual health care provider with primary practice located at 800 N Westmoreland Rd Suite 102, Lake Forest IL 60045-1673. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Troy, Tara N can be contacted via phone (847) 295-1300.

Contact Information

Primary practice address
800 N Westmoreland Rd Suite 102 Lake Forest IL 60045-1673
Fax: (847) 295-1574
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036108334 Illinois

Profile Details

NPI number 1306825740
LBN Legal business name Troy, Tara N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1306825740 NPPES
Illinois Other 036108334 STATE LICENSE

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