Paul C Tack in Gurnee - Internal Medicine

Paul C Tack - NPI 1265446017

Paul C Tack is a Internal Medicine in Gurnee, Illinois. Paul C Tack practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Paul C Tack is 1265446017. The last update date is 2014-07-29.

Paul C Tack's current location address is 501 N Riverside Dr, Gurnee, Illinois. You can contact this provider via phone number 8476258300 and fax number 8476258862. The mailing address for Paul C Tack is 501 N Riverside Dr, Gurnee, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul C Tack
Address 501 N Riverside Dr, Gurnee, Illinois
Phone Number 8476258300
Fax Number 8476258862
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1265446017
Provider Enumeration Date 2006-07-28
Last Updated Date 2014-07-29

Provider Mailing Address Detail

Address 501 N Riverside Dr
City Gurnee
State Illinois (IL)
Post Code 600315918
Phone Number 8476258300
Fax Number 8476258862

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 36097015
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

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FAQs about Paul C Tack

What is the Paul C Tack's 1265446017?

The Paul C Tack's NPI (National Provider Identifier) Number is 1265446017. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Paul C Tack is physically located?

The Paul C Tack is situated at the following address: 501 N Riverside Dr, Gurnee, IL 600315918.

What is Paul C Tack's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Paul C Tack is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.

On what date did the Paul C Tack receive its 1265446017 assignment from the Centers for Medicare & Medicaid Services?

The Paul C Tack was assigned its 1265446017 by the Centers for Medicare & Medicaid Services on 2006-07-28.

As of what date were the details related to Paul C Tack most recently updated or revised?

The information pertaining to Paul C Tack, including its address, specialty, and other relevant details, was last updated or revised on 2014-07-29.

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