Individual provider · Type 1 NPI
Tara Rada Nieberding
Customized Equipment (DME) · Naperville, IL
NPI number
1225528524
Active
Practice location
1701 Quincy Ave Ste 12
Naperville, IL 60540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor | 171W00000X | None listed |
| Home Modifications Contractor | 171WH0202X | None listed |
| Vehicle Modifications Contractor | 171WV0202X | None listed |
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
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About NPI 1225528524
Tara Rada Nieberding's National Provider Identifier is 1225528524, issued on May 14, 2018. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Naperville, IL. The record was last updated on Jul 10, 2018.