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Individual

MICHAEL TANIOUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 413-4900
Mailing address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 413-4900

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036156831
IL
2085R0204X
Vascular & Interventional Radiology Physician
125.072169
IL

Other

Enumeration date
04/04/2018
Last updated
08/21/2025
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