Tanksley, Audrey Lynn

Tanksley, Audrey Lynn is an individual health care provider with primary practice located at 4440 W 95Th St 131 No, Oak Lawn IL 60453-2600. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Tanksley, Audrey Lynn can be contacted via phone (708) 684-4113.

Contact Information

Primary practice address
4440 W 95Th St 131 No Oak Lawn IL 60453-2600
Phone: (708) 684-4113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-131059 Illinois

Profile Details

NPI number 1750524518
LBN Legal business name Tanksley, Audrey Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2009
Last updated Aug 24th, 2012 - about 13 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.

Request for update

Popular Providers