Organization
TENNENBAUM AND ANSTADT, LTD
Active
Other names
Gottlieb Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD ANSTADT MD (PRESIDENT)
(708) 450-4510
Entity
Organization
Contact information
Practice address
675 W NORTH AVE, SUITE 107, MELROSE PARK, IL 60160-1634
(708) 450-4510
(708) 450-9361
Mailing address
675 W NORTH AVE, SUITE 107, MELROSE PARK, IL 60160-1634
(708) 450-4510
(708) 450-9361
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01608499
BLUE CROSS BLUE SHIELD
IL
01
—
CD7287
RR MEDICARE
IL
Enumeration date
08/19/2006
Last updated
06/22/2020
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