Provider Demographics
NPI:1891560900
Name:ALSHAMMARI, TAMARAH
Entity Type:Individual
Prefix:
First Name:TAMARAH
Middle Name:
Last Name:ALSHAMMARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1768 CUMBERLAND GREEN DR UNIT 224
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-4637
Mailing Address - Country:US
Mailing Address - Phone:630-405-3511
Mailing Address - Fax:
Practice Address - Street 1:1768 CUMBERLAND GREEN DR UNIT 224
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-4637
Practice Address - Country:US
Practice Address - Phone:630-405-3511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company