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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114929981 NPPES
Illinois MEDICAID 036107359

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