| Doctor Name: | TAMMY CHAVARRIA |
| NPI Number: | 1043677529 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 041303804 |
| Business Practice Address: | 10811 W 143rd St Orland Park, IL - 604671913 |
| Business Phone Number: | 7089328240 |
| Business Fax Number: | 7089325272 |
| Mailing Address: | 5225 Old Orchard Rd, Suite 10 SKOKIE |
| State: | IL |
| Postal Code: | 600774405 |
| Phone Number: | 8479668807 |
| Fax Number: | 8479668821 |
| NPI Enumeration Date: | 01/28/2016 |
| NPI Last Update Date: | 01/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0101X |
| License Number: | 041303804 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Women's Health Care, Ambulatory |
| Taxonomy Definition: | |