Individual
JOSEPH M TAGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 WESTON AVE, AURORA, IL 60505-4767
(630) 801-0031
(630) 801-0199
Mailing address
330 WESTON AVE, AURORA, IL 60505-4767
(630) 801-0031
(630) 801-0199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036071393
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071393
—
IL
Enumeration date
08/02/2006
Last updated
07/09/2007
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