Individual
DR. TAREK SAMIR HARB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4282 E ROCKTON RD, ROSCOE, IL 61073
(779) 696-9000
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
(779) 696-7342
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036115041
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036115041
ILLINOIS LICENSE
IL
01
—
336076316
CONTROLLED SUBSTANCE LIC
IL
Enumeration date
06/21/2006
Last updated
03/07/2023
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