Tennenhouse, Joel E.

Tennenhouse, Joel E. is an individual health care provider with primary practice located at 800 E Carpenter St Department Of Radiology, Springfield IL 62702-5324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Tennenhouse, Joel E. can be contacted via phone (217) 544-6464.

Contact Information

Primary practice address
800 E Carpenter St Department Of Radiology Springfield IL 62702-5324
Phone: (217) 544-6464
Fax: (217) 525-5671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 036085354 Illinois

Profile Details

NPI number 1528171436
LBN Legal business name Tennenhouse, Joel E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Nov 27th, 2023 - about last year

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 1528171436 NPPES
Illinois Other 300034081 RR MEDICARE
Illinois MEDICAID 36085954 RR MEDICARE
Illinois Other P00028351 RR MEDICARE

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