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

TARA BANICK, PT

Active

TARA BANICK, PT is a Physical Therapy Assistant healthcare provider located in LIBERTYVILLE, Illinois. NPI 1972543171 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LIBERTYVILLE, IL

Registration Details

NPI Number
1972543171
Provider Type
Individual
Gender
Female
NPI Issued
Jun 7, 2006 (20.149509903479 yrs)
Last Updated
Jun 1, 2021
License
070-012763 (IL)

Practice Information

Address
1757 NORTHWIND BLVD
LIBERTYVILLE, IL, 600489617
Browse IL providers · Browse ZIP 60048
Phone
2242060200
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in LIBERTYVILLE, IL

Name Credential NPI
MRS. CATHY FAYE GUNTHER P.T. 1861465122
MARZENA M INMAN DPT 1710937438
ELIZABETH CULVER PT 1376599498
CAROL LYNN FREEMAN PT 1669412821
ROBERT TOWLE PT 1043250210
WENDY ALLING PT 1750321592
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.