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Contact Information

TALISHA MOMAN
7600 S. PULASKI RD.
SUITE 1106
CHICAGO, IL60652
 Phone: 773-838-5748
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for TALISHA MOMAN · (Female)

NPI Number 1346786811
Status Active
Credentials
Entity Individual
Enumeration date 01/09/2017
Last updated 01/09/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 043.102708
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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