Individual
IAN ANDREW TARNOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(888) 352-7874
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(888) 352-7874
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125.087817
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
06/10/2026
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