Individual
THOMAS MAYNARD TUCKER TURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S FIRST AVE, (300 N. YORK RD., ELMHURST, IL. 60128), MAYWOOD, IL 60153
(708) 327-7030
(630) 833-8834
Mailing address
2160 S FIRST AVE, (300 N. YORK RD., ELMHURST, IL. 60128), MAYWOOD, IL 60153
(708) 327-7030
(630) 833-8834
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01094846A
IN
208800000X
Urology Physician
Primary
36098025
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201031720
—
IN
05
—
36098025
—
IL
01
—
L80642
MEDICARE
IL
Enumeration date
02/15/2006
Last updated
11/12/2024
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