Individual
DR. JUDITH LYNN TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
444 SKOKIE BLVD, #360, WILMETTE, IL 60091-3086
(312) 464-0120
(847) 920-1540
Mailing address
444 SKOKIE BLVD, #360, WILMETTE, IL 60091-3086
(312) 464-0120
(847) 920-1540
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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