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Dr. Edward James Tanner III, MD
Gynecologic Oncology Physician in Chicago, Illinois
NPI 1013059781

Edward James Tanner III is a Gynecologic Oncology Physician based in Middle River, IL and is specialized in Gynecologic Oncology. Edward James Tanner III practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Edward James Tanner III is 1013059781 and holds a License No. MD500002320 (Illinois).

The current practice location address for Edward James Tanner III is 250 E Superior St Ste 4-420, Chicago, IL and can be reached out via phone at 312-695-0990. You can also correspond with Edward James Tanner III through the mailing address at 6201 GREENLEIGH AVE, MIDDLE RIVER, MD - 21220-2004 (mailing address contact number: 410-933-6423).

Location: 250 E Superior St Ste 4-420, Chicago, IL, 21220-2004
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Provider Profile Details
NPI Number
1013059781
Provider Name
Edward James Tanner III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
250 E Superior St Ste 4-420, Chicago, IL, 21220-2004
Phone Number
312-695-0990
Fax Number
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
056633100 05 MD
institution
Provider Business Practice Location Address Details
Address
250 E Superior St Ste 4-420
City
State
Zip
60611-2914
Phone Number
312-695-0990
Fax Number
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Provider Business Mailing Address Details
Address
6201 Greenleigh Ave
City
State
Zip
21220-2004
Phone Number
410-933-6423
Fax Number
410-500-4266
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
License No.
MD500002320 (District of Columbia)
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
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