OrganizationGhabra & Tarsha Medical IncObstetrics & GynecologyAllopathic & Osteopathic PhysiciansPractice Address2222 W Division St, Suite 330, Chicago, IL 60622-2717(312) 770-3813PECOS EnrollmentBased on the most recent information from CMS, provider Ghabra & Tarsha Medical Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1477763894Provider TypeOrganizationFull NameGhabra & Tarsha Medical IncSubpartNoEnumeration Date5/23/2007Last Updated7/16/2008Contact InformationPractice LocationPractice Address2222 W Division St, Suite 330, Chicago, IL 60622-2717Phone(312) 770-3813FaxUnlisted FaxMailing LocationMailing AddressPO Box 967, Tinley Park, IL 60477-0967PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameTarsha, Thana (Owner Physician)Phone(312) 770-3813Provider TaxonomiesCodeDescriptionLicenseCode207V00000XPrimaryDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID0001620115DescriptionOtherIssuerBC/BSIllinois