Utset, Tammy O

Utset, Tammy O is an individual health care provider with primary practice located at 5841 S Maryland Ave # Mc1099 , Chicago IL 60637-1447. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Utset, Tammy O can be contacted via phone (773) 702-6885.

Contact Information

Primary practice address
5841 S Maryland Ave # Mc1099 Chicago IL 60637-1447
Phone: (773) 702-6885
Fax: (773) 702-8702
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 036092270 Illinois

Profile Details

NPI number 1760545289
LBN Legal business name Utset, Tammy O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Sep 13th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760545289 NPPES
Illinois MEDICAID 036099270

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