Tricia Marie Taaca, PA-C

NPI #1255950242 in Morris, Illinois

Provider Information

NPI Number: 1255950242
Entity Type: Individual
Name: Tricia Marie Taaca, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 10, 2020
Last Updated: Aug 27, 2020

Practice Location

Address: 1499 LAKEWOOD DR STE A
City: Morris
State: Illinois
ZIP Code: 60450-1791
Phone: (815) 941-5160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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