Stanford Tack, MD

NPI #1558314013 in Libertyville, Illinois

Provider Information

NPI Number: 1558314013
Entity Type: Individual
Name: Stanford Tack, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: MD
Enumeration Date: May 18, 2006
Last Updated: Aug 28, 2012

Practice Location

Address: 720 FLORSHEIM DR
City: Libertyville
State: Illinois
ZIP Code: 60048-3757
Phone: (847) 247-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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