Tatooles, Antone John
Tatooles, Antone John is an individual health care provider with primary practice located at 4400 W 95Th St Ste 308 , Oak Lawn IL 60453-2660. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Tatooles, Antone John can be contacted via phone (708) 346-4040.Contact Information
Primary practice address
4400 W 95Th St Ste 308
Oak Lawn IL 60453-2660
Phone: (708) 346-4040
Fax: (708) 346-3287
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036089268 | Illinois |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01045251A | Indiana |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 01045251A | Indiana |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 036089268 | Illinois |
Profile Details
| NPI number | 1477548170 |
|---|---|
| LBN Legal business name | Tatooles, Antone John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Dec 17th, 2021 - about 3 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 | 1477548170 | NPPES |
| Illinois | Other | 01618941 | BCBS |
| Illinois | MEDICAID | 1477548170 | BCBS |
| Illinois | MEDICAID | 200123450A | BCBS |
| Illinois | MEDICAID | 200123450E | BCBS |
| Illinois | MEDICAID | 036089268 | BCBS |
| Illinois | MEDICAID | 200123450C | BCBS |
| Illinois | MEDICAID | 200123450B | BCBS |
| Illinois | MEDICAID | 200123450D | BCBS |
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