Individual
COURTNEY ANN TABAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7447 W TALCOTT AVE STE 542, CHICAGO, IL 60631-3716
(773) 631-2180
(773) 631-5947
Mailing address
7447 W TALCOTT AVE STE 542, CHICAGO, IL 60631-3716
(773) 631-2180
(773) 631-5947
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036140671
IL
207RP1001X
Pulmonary Disease Physician
Primary
036140671
IL
Other
Enumeration date
06/30/2010
Last updated
01/03/2023
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