# TANQ, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306010731
- **Authorized official:** MRS. MARIA TANQUILUT (PRESIDENT)
- **Authorized official phone:** (815) 717-6654

## Contact information

- **Practice address:** 18510 S MARILYNN CT, MOKENA, IL 60448-9517
- **Practice address phone:** (815) 717-6654
- **Mailing address:** 18510 S MARILYNN CT, MOKENA, IL 60448-9517
- **Mailing address phone:** (815) 717-6654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 036-094341 | IL | Yes |

## Other

- **Enumeration date:** 04/16/2008
- **Last updated:** 06/23/2009