Marlene Juco Tanquilut in Gurnee - Pediatrics

Marlene Juco Tanquilut - NPI 1083782908

Marlene Juco Tanquilut is a Pediatrics in Gurnee, Illinois. Marlene Juco Tanquilut practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Marlene Juco Tanquilut is 1083782908. The last update date is 2007-07-08.

Marlene Juco Tanquilut's current location address is 200 South Greenleaf St, Gurnee, Illinois. You can contact this provider via phone number 8473360770 and fax number 8473360159. The mailing address for Marlene Juco Tanquilut is 200 South Greenleaf St, Gurnee, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Marlene Juco Tanquilut
Address 200 South Greenleaf St, Gurnee, Illinois
Phone Number 8473360770
Fax Number 8473360159
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1083782908
Provider Enumeration Date 2006-11-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 200 South Greenleaf St
City Gurnee
State Illinois (IL)
Post Code 60031
Phone Number 8473360770
Fax Number 8473360159

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

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FAQs about Marlene Juco Tanquilut

What is the unique provider identifier assigned to Marlene Juco Tanquilut?

The Marlene Juco Tanquilut has been issued the NPI (National Provider Identifier) 1083782908 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Marlene Juco Tanquilut's facilities are geographically located?

The facilities of Marlene Juco Tanquilut are physically situated at the following location: 200 South Greenleaf St, Gurnee, IL, 60031.

What is the area of specialization for Marlene Juco Tanquilut, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Marlene Juco Tanquilut is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.

On what date did the Marlene Juco Tanquilut receive the assignment of its 1083782908 from the Centers for Medicare & Medicaid Services?

The Marlene Juco Tanquilut was issued its 1083782908 by the Centers for Medicare & Medicaid Services on 2006-11-30.

When was the information pertaining to Marlene Juco Tanquilut most recently updated or revised?

The details related to Marlene Juco Tanquilut, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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