Individual
TAMMY O UTSET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE # MC1099, CHICAGO, IL 60637-1447
(773) 702-6885
(773) 702-8702
Mailing address
5841 S MARYLAND AVE # MC1099, CHICAGO, IL 60637-1447
(773) 702-6885
(773) 702-8702
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036092270
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099270
—
IL
Enumeration date
12/18/2006
Last updated
09/13/2012
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