Shiraz Tata

CLINICAL PSYCHOLOGIST

6072 Brynwood Dr
Suite 107
Rockford, IL 611145829
(815) 519-2949
**NPI:** 1336298504
**Med School:** SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
**Experience:** 32 years
**Telehealth:** No
**Medicare Assignment:** Yes

Practice Locations (1)

6072 Brynwood Dr, Suite 107
Rockford, IL 611145829

Phone: (815) 519-2949

**Group ID:** | **Group Size:** members

Hospital Affiliations

No hospital affiliations reported.

MIPS Performance Score

MIPS performance data is not available or not publicly reported.

Procedure Volume (Utilization)

Procedure volume data is not available for public display.

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