Individual
ASSIA MEZIANE-TANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
259 E ERIE ST FL 19, CHICAGO, IL 60611-2987
(312) 695-7950
Mailing address
259 E ERIE ST FL 19, CHICAGO, IL 60611-2987
(312) 695-7950
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036.156407
IL
2084N0400X
Neurology Physician
57.029578
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2017
Last updated
06/25/2021
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