Taback, Erin Michelle

Taback, Erin Michelle is an individual health care provider with primary practice located at 1107 Chicago Ave , Oak Park IL 60302-1803. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Taback, Erin Michelle can be contacted via phone (708) 383-2900.

Contact Information

Primary practice address
1107 Chicago Ave Oak Park IL 60302-1803
Phone: (708) 383-2900
Fax: (708) 383-2969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-098343 Illinois

Profile Details

NPI number 1003900556
LBN Legal business name Taback, Erin Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jan 27th, 2016 - about 8 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 1003900556 NPPES
Illinois Other 036-098343 IL LICENSE

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