Organization · Type 2 NPI
Tanq, Inc.
Vascular Surgery Physician · Mokena, IL
NPI number
1306010731
Active
Practice location
18510 S Marilynn Ct
Mokena, IL 60448-9517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 036-094341 (IL) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
About NPI 1306010731
Tanq, Inc.'s National Provider Identifier is 1306010731, issued on Apr 16, 2008. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Mokena, IL. The record was last updated on Jun 23, 2009.