Search › Illinois › 363LF0000X
Tamarra Subyantoro, APN
NPI 1942842018 · on the registry since 2019
Practice
- Address
- 5114 N Glen Park Place Rd Ste 110
Peoria, IL 61614 - Phone
- (309) 683-5600
- Fax
- (309) 683-5607
- Clinicians at this address
- 45
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363L00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois