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DR. ERIN MICHELLE TABACK M.D. NPI 1003900556


NPI Information

NPI: 1003900556
Provider Name: DR. ERIN MICHELLE TABACK, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1107 CHICAGO AVE
OAK PARK, IL
ZIP 60302
Phone: (708) 383-2900
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DR. Erin Michelle Taback, M.D. is a pediatrics in Oak Park, IL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Erin Michelle Taback, M.D. NPI is 1003900556. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1107 CHICAGO AVE
OAK PARK, IL
ZIP 60302-803
Phone: (708) 383-2900
Fax: (708) 383-2969

The enumeration date for this NPI number is 10/2/2006 and was last updated on 1/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics036-098343ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
127-3676211OTHERTAX ID NUMBER
2036-098343OTHERILLINOISIL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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