Individual
ROBERT MARCEL TANKEH HUIBONHOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-0708
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-0708
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
036.173273
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
07/09/2019
Last updated
04/27/2026
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