Individual
DR. SETH R. TANENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 N SHERIDAN RD, STE 400, CHICAGO, IL 60657-6157
(773) 871-7384
(773) 377-1766
Mailing address
2800 N SHERIDAN RD, STE 400, CHICAGO, IL 60657-6157
(773) 871-7384
(773) 377-1766
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036-069434
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069434
—
IL
Enumeration date
06/16/2005
Last updated
02/15/2010
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