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TARA NIKODEM, PA-C

PA-C

Surgical Physician Assistant

NPI: 1720322654IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician Assistant — Surgical

Code: 363AS0400X

085004540(IL)

Physician Assistant

Code: 363A00000X

085.004540(IL)

CMS Specialties

Education

OTHER

Class of 2012

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Contact & Hours

Address
211 E ONTARIO ST, SUITE 300
CHICAGO, IL 60611

Quick Facts

NPI
1720322654
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
14

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