Allison Rae Tanck is a Specialist in Peoria, Illinois. Allison Rae Tanck practices all healthcare services and medical treatments related to Specialist. The NPI Number for Allison Rae Tanck is 1144425174. The last update date is 2012-10-02.
Allison Rae Tanck's current location address is 7303 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096914005 and fax number 3096916144. The mailing address for Allison Rae Tanck is 7303 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Allison Rae Tanck |
|---|---|
| Address | 7303 N Knoxville Ave, Peoria, Illinois |
| Phone Number | 3096914005 |
| Fax Number | 3096916144 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1144425174 |
|---|---|
| Provider Enumeration Date | 2007-06-19 |
| Last Updated Date | 2012-10-02 |
Provider Mailing Address Detail
| Address | 7303 N Knoxville Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616142017 |
| Phone Number | 3096914005 |
| Fax Number | 3096916144 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36130952 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 114425174 | IL | NPI |
Post Comment/ Review Below
What is the unique identifier code issued to Allison Rae Tanck by the Centers for Medicare & Medicaid Services (CMS)?
The Allison Rae Tanck has been assigned the NPI (National Provider Identifier) 1144425174. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Allison Rae Tanck is geographically located?
The Allison Rae Tanck is physically situated at the following location: 7303 N Knoxville Ave, Peoria, IL, 616142017.
What is Allison Rae Tanck's area of expertise and its corresponding taxonomy classification?
The Allison Rae Tanck's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1144425174 to Allison Rae Tanck?
The Centers for Medicare & Medicaid Services originally issued the 1144425174 to Allison Rae Tanck on 2007-06-19.
When was the Allison Rae Tanck's information last updated?
The Allison Rae Tanck's information was last updated on 2012-10-02.