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Dr. Tanya M Powell, MD
Radiation Oncology Physician in Park Ridge, Illinois
NPI 1043201072

Tanya M Powell is a Radiation Oncology Physician based in Oak Brook, IL and is specialized in Radiation Oncology. Tanya M Powell practices in Park Ridge, IL and has the professional credentials of MD. The NPI Number for Tanya M Powell is 1043201072 and holds a License No. 036111022 (Illinois).

The current practice location address for Tanya M Powell is 1700 Luther Ln, Park Ridge, IL and can be reached out via phone at 630-205-6612 and via fax at 847-698-0601.

Location: 1700 Luther Ln, Park Ridge, IL, 60523-1546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043201072
Provider Name
Tanya M Powell
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1700 Luther Ln, Park Ridge, IL, 60523-1546
Phone Number
630-205-6612
Fax Number
847-698-0601
Provider Enumeration Date
10/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
778401 01 IL MEDICARE PROVIDER NUMBER
036111022 05 IL
P00138138 01 IL RAILROAD MEDICARE
558620 01 IL MEDICARE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1700 Luther Ln
City
Park Ridge
State
Illinois
Zip
60068-1270
Phone Number
630-205-6612
Fax Number
847-698-0601
person
Provider Business Mailing Address Details
Address
1700 Luther Ln
City
Park Ridge
State
Illinois
Zip
60068-1270
Phone Number
630-205-6612
Fax Number
847-698-0601
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
036111022 (Illinois)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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