Individual
DR. KEVIN JOHN TUNNAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
800 AUSTIN ST, SUITE #611, EVANSTON, IL 60202-3439
(847) 864-5010
(847) 864-9632
Mailing address
800 AUSTIN ST, SUITE #611, EVANSTON, IL 60202-3439
(847) 864-5010
(847) 864-9632
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004439
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004439
—
IL
01
—
0449670001
DMERC/CEDI
IL
01
—
60010790
BCBS
IL
Enumeration date
05/08/2006
Last updated
04/27/2010
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