Individual
DR. MARLENE JUCO TANQUILUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 SOUTH GREENLEAF ST, SUITE E, GURNEE, IL 60031
(847) 336-0770
(847) 336-0159
Mailing address
200 SOUTH GREENLEAF ST, SUITE E, GURNEE, IL 60031
(847) 336-0770
(847) 336-0159
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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