Individual
ALLISON RAE TANCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7001 ROGERS AVE FL 6, FORT SMITH, AR 72903-4073
(479) 314-4619
(479) 461-4078
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(479) 314-4619
(479) 461-4078
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036130952
IL
208600000X
Surgery Physician
036130952
IL
208600000X
Surgery Physician
Primary
E-19587
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114425174
NPI
IL
Enumeration date
06/19/2007
Last updated
08/05/2025
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