Gregory Tabaka

NPI #1508352014 in Hines, Illinois

Provider Information

NPI Number: 1508352014
Entity Type: Individual
Name: Gregory Tabaka
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Enumeration Date: Jul 9, 2018
Last Updated: Jul 9, 2018

Practice Location

Address: 5000 S 5TH AVE
City: Hines
State: Illinois
ZIP Code: 60141-3030
Phone: (708) 202-8387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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