Korte, Tandy

Korte, Tandy is an individual health care provider with primary practice located at 2601 W Main St , Carbondale IL 62901-1031. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Korte, Tandy can be contacted via phone (618) 549-5361.

Contact Information

Primary practice address
2601 W Main St Carbondale IL 62901-1031
Phone: (618) 549-5361
Fax: (618) 351-4878
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036107118 Illinois

Profile Details

NPI number 1376656439
LBN Legal business name Korte, Tandy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Oct 30th, 2020 - about 6 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 1376656439 NPPES
Illinois Other 370021476 RR MEDICARE NUMBER
Illinois Other 3932056 RR MEDICARE NUMBER
Illinois Other 324134 RR MEDICARE NUMBER
Illinois MEDICAID 036107118 RR MEDICARE NUMBER
Illinois Other 133287 RR MEDICARE NUMBER
Illinois Other 075989 RR MEDICARE NUMBER
Illinois Other 482487 RR MEDICARE NUMBER
Illinois Other 7210895 RR MEDICARE NUMBER

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