Individual
DR. ANDREW TANNENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 GRANT ST, HARVARD, IL 60033-1821
(815) 943-5431
(815) 943-0659
Mailing address
901 GRANT ST, HARVARD, IL 60033-1821
(815) 943-5431
(815) 943-0659
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
252241
MA
2085R0202X
Diagnostic Radiology Physician
252241
MA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036147111
IL
Other
Enumeration date
06/29/2012
Last updated
04/01/2026
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