Individual
DR. DEBORAH ROSE TABACHNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4400 W 95TH ST STE 308, OAK LAWN, IL 60453
(708) 346-4040
(708) 346-3287
Mailing address
9500 BORMET DR STE 204, MOKENA, IL 60448-8399
(708) 346-4044
(708) 346-3287
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101283483
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036129192
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036129192
—
IL
Enumeration date
03/29/2011
Last updated
02/10/2025
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