Organization
TANQ, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA TANQUILUT (PRESIDENT)
(815) 717-6654
Entity
Organization
Contact information
Practice address
18510 S MARILYNN CT, MOKENA, IL 60448-9517
(815) 717-6654
Mailing address
18510 S MARILYNN CT, MOKENA, IL 60448-9517
(815) 717-6654
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
036-094341
IL
Other
Enumeration date
04/16/2008
Last updated
06/23/2009
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