Individual
ALLAN MANUEL TAACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 W POLK ST., ADMIN BUILDING 10TH FLOOR, JOHN. H. STROGER JR. HOSPITAL OF COOK COUNTY, CHICAGO, IL 60612
(312) 864-0065
Mailing address
7818 DEL CT, DARIEN, IL 60561-4550
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125053965
IL
Other
Enumeration date
08/15/2008
Last updated
05/02/2012
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