Tanquilut, Marlene Juco
Tanquilut, Marlene Juco is an individual health care provider with primary practice located at 200 South Greenleaf St Suite E, Gurnee IL 60031. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tanquilut, Marlene Juco can be contacted via phone (847) 336-0770.Contact Information
Primary practice address
200 South Greenleaf St Suite E
Gurnee IL 60031
Phone: (847) 336-0770
Fax: (847) 336-0159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | Illinois |
Profile Details
| NPI number | 1083782908 |
|---|---|
| LBN Legal business name | Tanquilut, Marlene Juco |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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