Tanquilut, Renato L
Tanquilut, Renato L is an sole proprietor health care provider with primary practice located at 14005 Ridge Rd , Orland Park IL 60462-1824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tanquilut, Renato L can be contacted via phone (708) 460-3072.Contact Information
Primary practice address
14005 Ridge Rd
Orland Park IL 60462-1824
Phone: (708) 460-3072
Fax: (773) 277-1166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 36043550 | Illinois |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01041921A | Indiana |
Profile Details
| NPI number | 1780747386 |
|---|---|
| LBN Legal business name | Tanquilut, Renato L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1780747386 | NPPES |
| Illinois | Other | 0021601990 | BLUECROSSBLUESHIELD |
| Illinois | Other | 000000198417 | BLUECROSSBLUESHIELD |
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