Tannebaum, Ross

Tannebaum, Ross is an individual health care provider with primary practice located at 333 Madison St , Joliet IL 60435-8200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Tannebaum, Ross can be contacted via phone (815) 725-7133.

Contact Information

Primary practice address
333 Madison St Joliet IL 60435-8200
Phone: (815) 725-7133
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01039740A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036070070 Illinois

Profile Details

NPI number 1861492225
LBN Legal business name Tannebaum, Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Mar 3rd, 2022 - about 4 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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