Search › Illinois › 225X00000X
Farida Tavawala
NPI 1962740530 · on the registry since 2013 · sole proprietor
Practice
- Address
- 470 Fawell Blvd
Apt 511
Glen Ellyn, IL 60137 - Phone
- (201) 743-9677
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-01-16
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