Individual
AUDREY LYNN TANKSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9449 S KEDZIE AVE, EVERGREEN PARK, IL 60805-2325
(833) 367-6699
(847) 631-5607
Mailing address
9449 S KEDZIE AVE, EVERGREEN PARK, IL 60805-2325
(224) 955-8069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-131059
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2009
Last updated
05/01/2025
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