Organization
SETH R TANENBAUM MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY SANCHEZ (BILLING MANAGER)
(630) 424-1122
Entity
Organization
Contact information
Practice address
2800 N SHERIDAN RD, SUITE 400, CHICAGO, IL 60657
(630) 424-1122
Mailing address
1 TRANSAM PLAZA DR., SUITE 490, OAKBROOK TERRACE, IL 60181
(630) 424-1122
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01605223
BCBS OF IL PROVIDER NO.
IL
Enumeration date
05/03/2007
Last updated
08/22/2020
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