Individual
ANTHONY TOMAS TANTOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(800) 543-7362
(312) 227-9730
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(800) 543-7362
(312) 227-9730
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
036136976
IL
Other
Enumeration date
03/18/2011
Last updated
07/19/2019
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