Tara Malinowski

Primary Care Nurse Practitioner · Normal, IL

Individual Active NPI

NPI number 1861035685

Practice location

207 Landmark Dr Ste a
Normal, IL 61761-3195
Phone
(309) 268-3200

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NPI record

NPI
1861035685
Entity type
Individual (Type 1)
Enumeration date
October 24, 2019
Last updated
June 9, 2021
Certified
May 20, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Primary Care Nurse Practitioner Primary 363LP2300X 209020267 IL

Mailing address

611 W. Park St
Fapc
Urbana, IL 61801

About Tara Malinowski

Tara Malinowski is a healthcare provider registered in the NPI registry with the primary taxonomy Primary Care Nurse Practitioner (code 363LP2300X). The practice location is 207 Landmark Dr Ste a, Normal, IL 61761-3195. The NPI number 1861035685 was assigned on October 24, 2019 and the record was last updated on June 9, 2021.

Tara Malinowski lists a license in the registry: #209020267 (IL) for Primary Care Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tara Malinowski?

The NPI number is 1861035685.

What is the phone number of Tara Malinowski?

The phone number listed for the practice location is (309) 268-3200.

Where is Tara Malinowski located?

207 Landmark Dr Ste a, Normal, IL 61761-3195.

What is the taxonomy code for Tara Malinowski?

The primary taxonomy code is 363LP2300X – Primary Care Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.