DR. Marlene Juco Tanquilut, MD

NPI #1083782908 in Gurnee, Illinois

Provider Information

NPI Number: 1083782908
Entity Type: Individual
Name: DR. Marlene Juco Tanquilut, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Nov 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 200 SOUTH GREENLEAF ST
Address 2: SUITE E
City: Gurnee
State: Illinois
ZIP Code: 60031
Phone: (847) 336-0770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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