DR. Tara Diederich Gerou, D.C.

NPI #1801191218 in Oak Park, Illinois

Provider Information

NPI Number: 1801191218
Entity Type: Individual
Name: DR. Tara Diederich Gerou, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jan 14, 2011
Last Updated: Jan 14, 2011

Practice Location

Address: 1001 MADISON ST
City: Oak Park
State: Illinois
ZIP Code: 60302-4443
Phone: (773) 680-4743

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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