Rendulic, Tamara
Rendulic, Tamara is an individual health care provider with primary practice located at 1225 W Lake St Westlake Hospital / Anesthesia Department, Melrose Park IL 60160-4039. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Rendulic, Tamara can be contacted via phone (708) 681-3000.Contact Information
Primary practice address
1225 W Lake St Westlake Hospital / Anesthesia Department
Melrose Park IL 60160-4039
Phone: (708) 681-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036107359 | Illinois |
Profile Details
| NPI number | 1114929981 |
|---|---|
| LBN Legal business name | Rendulic, Tamara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Mar 6th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114929981 | NPPES |
| Illinois | MEDICAID | 036107359 |
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