Tanenbaum, Seth R.
Tanenbaum, Seth R. is an sole proprietor health care provider with primary practice located at 2800 N Sheridan Rd Ste 400, Chicago IL 60657-6157. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Tanenbaum, Seth R. can be contacted via phone (773) 871-7384.Contact Information
Primary practice address
2800 N Sheridan Rd Ste 400
Chicago IL 60657-6157
Phone: (773) 871-7384
Fax: (773) 377-1766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036-069434 | Illinois |
Profile Details
| NPI number | 1912902933 |
|---|---|
| LBN Legal business name | Tanenbaum, Seth R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Feb 15th, 2010 - about 15 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 | 1912902933 | NPPES |
| Illinois | MEDICAID | 036069434 |
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