Individual
DR. DEIMANTE MARIA TAMKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1950 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-6000
Mailing address
1950 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-106485
IL
207RH0000X
Hematology (Internal Medicine) Physician
036-106485
IL
207RX0202X
Medical Oncology Physician
Primary
036-106485
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881624906
—
MI
05
—
4886651
—
MI
Enumeration date
07/04/2006
Last updated
04/30/2021
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