Individual
DR. TANYA M POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 LUTHER LN, PARK RIDGE, IL 60068-1270
(630) 205-6612
(847) 698-0601
Mailing address
700 COMMERCE DR, SUITE 500, OAK BROOK, IL 60523-1546
(847) 698-0600
(847) 698-0601
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036111022
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111022
—
IL
01
—
558620
MEDICARE PROVIDER NUMBER
IL
01
—
778401
MEDICARE PROVIDER NUMBER
IL
01
—
P00138138
RAILROAD MEDICARE
IL
Enumeration date
10/31/2005
Last updated
12/27/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us