Tara White, is a
Rehabilitation Counselor based in Chicago, Illinois. Tara White is licensed to practice in Illinois (license number ) and her current practice location is
820 S Damen Ave, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(312) 569-7415.
NPI number for Tara White is 1528710753 and her current mailing address is 820 S Damen Ave, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528710753.
Healthcare Provider's Profile
| Full Name | Tara White |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Counselor |
|---|
| Location | 820 S Damen Ave, Chicago, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528710753
- Provider Enumeration Date: 01/19/2022
- Last Update Date: 01/19/2022
Medical Identifiers
Medical identifiers for Tara White such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528710753 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | (Illinois) | Secondary |
| 225C00000X | Rehabilitation Counselor | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tara White is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tara White, 820 S Damen Ave, Chicago, IL 60612-3728 Ph: (312) 569-7415 | Tara White, 820 S Damen Ave, Chicago, IL 60612-3728 Ph: (312) 569-7415 |
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