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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS TAMARA A. PRIDE, PA-C

Active

MISS TAMARA A. PRIDE, PA-C is a Physician Assistant healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1649494691 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CRYSTAL LAKE, IL

Registration Details

NPI Number
1649494691
Provider Type
Individual
Gender
Female
NPI Issued
Apr 12, 2007 (19.305523901568 yrs)
Last Updated
May 24, 2018
License
085001795 (IL)

Practice Information

Address
820 E TERRA COTTA AVE STE 125
CRYSTAL LAKE, IL, 60014
Browse IL providers · Browse ZIP 60014
Phone
8154554434
Fax
8154554593
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in CRYSTAL LAKE, IL

Name Credential NPI
MAKIKO OGINO-MCELLIGOTT PA-C 1134121965
MRS. KATHI LYNE BLILER P.A.-C 1265543557
CHRISTOPHER M NORTHERN PA 1043300767
MRS. MICHELLE LEE SANFILIPPO PA-C 1679628374
AMANDA MARIE DIAMOND PA-C 1003147406
TUCKER D BENJAMIN MS, PA-C 1407122591
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.