Individual
CARI ANNE TARNOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1030 N CLARK ST, SUITE 400, CHICAGO, IL 60610-5467
(312) 943-6964
(312) 943-6924
Mailing address
PO BOX 189, MATTESON, IL 60443-0189
(708) 747-5850
(708) 747-9991
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
036113566
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113566
—
IL
Enumeration date
08/09/2005
Last updated
11/25/2009
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