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ANN-MARIE TOMAS TANTOCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
251 E HURON ST, CHICAGO, IL 60611
(312) 926-5924
Mailing address
251 E HURON ST STE 16-738, CHICAGO, IL 60611-2908
(312) 926-5924

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.146534
IL
208000000X
Pediatrics Physician
036.146534
IL
208M00000X
Hospitalist Physician
Primary
036.146534
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0086290
OH
Enumeration date
05/01/2009
Last updated
11/03/2021
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