Individual provider · Type 1 NPI

Eugene M. Tanquilut, DO

Vascular Surgery Physician · Olympia Fields, IL

NPI number 1043215148 Active

Practice location

20060 Governors Dr, Suite 102
Olympia Fields, IL 60461-1029

Fax (815) 844-0307

Other practice locations

  • 555 W Court St, Kankakee, IL 60901-3664 · (815) 824-4406

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129X036094341 (IL)
Vascular Surgery Physician 2086S0129X02002492A (IN)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

17 other providers at this address

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About NPI 1043215148

Eugene M. Tanquilut, DO's National Provider Identifier is 1043215148, issued on Jun 15, 2005. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Olympia Fields, IL. The record was last updated on Jun 23, 2026.