NPI 1023092319

Tara Lykowski, PAC

Practitioner Physician Assistant Park Ridge, IL

Practice location

Address: 250 S Northwest Hwy STE 100, Park Ridge, IL 60068-4237
Phone: (773) 631-7898
Fax: (773) 631-3005
Mailing address: 900 Rand Rd STE 300, Des Plaines, IL 60016-2359

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 085002397 (IL)

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Registry record

NPI: 1023092319
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Dec 2005
Record last updated: 10 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.