Allison Rae Tanck M.D.

NPI 1144425174 - Specialist - 174400000X

NPI Details
NPI 1144425174
Gender Female
Enumeration Date 06/19/2007
Last Updated 10/02/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
7303 N KNOXVILLE AVE
PEORIA IL, 61614-2017, US
Phone (309) 691-4005
Fax (309) 691-6144
Business Location
7303 N KNOXVILLE AVE
PEORIA IL, 61614-2017, US
Phone (309) 691-4005
Fax (309) 691-6144
Toxanomy
Taxonomy Code 174400000X
License State Illinois
License Number 036130952
Remove 1144425174 NPI Number
 

According to our database, Allison Rae Tanck M.D. NPI is 1144425174, taxonomy code is 174400000X and license number is 036130952, license state is located at Illinois. Allison Rae Tanck M.D. physically located at 7303 N Knoxville Ave, Peoria IL, 61614-2017. NPI Number Allison Rae Tanck M.D. has the Individual type.

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1144425174 NPI number is provided on an as is basis without warranty of any kind. 1144425174 is maintained by the National Plan & Provider Enumeration System. The contents of Allison Rae Tanck M.D. are for informational purposes only.