Individual
JAMES TUSCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9951 ROCK CUT XING, LOVES PARK, IL 61111-1999
(815) 639-8450
(815) 639-8451
Mailing address
9951 ROCK CUT XING, LOVES PARK, IL 61111-1999
(815) 639-8450
(815) 639-8451
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
036060691
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36060691
—
IL
01
—
553180
MEDICARE GROUP #
IL
01
—
834340
MEDICARE GROUP
IL
Enumeration date
07/14/2006
Last updated
10/16/2014
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