Individual
DR. ERIN MICHELLE TABACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1107 CHICAGO AVE, OAK PARK, IL 60302-1803
(708) 383-2900
(708) 383-2969
Mailing address
1107 CHICAGO AVE, OAK PARK, IL 60302-1803
(708) 383-2900
(708) 383-2969
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-098343
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-098343
IL LICENSE
IL
Enumeration date
10/02/2006
Last updated
01/27/2016
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