DR. Paul C Tack, M.D.

NPI #1265446017 in Gurnee, Illinois

Provider Information

NPI Number: 1265446017
Entity Type: Individual
Name: DR. Paul C Tack, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jul 28, 2006
Last Updated: Jul 29, 2014

Practice Location

Address: 501 N RIVERSIDE DR
Address 2: SUITE 102
City: Gurnee
State: Illinois
ZIP Code: 60031-5918
Phone: (847) 625-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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