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Allison Rae Tanck, MD
Specialist in Peoria, Illinois
NPI 1144425174

Allison Rae Tanck is a Specialist based in Peoria, IL. Allison Rae Tanck practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Allison Rae Tanck is 1144425174 and holds a License No. 036130952 (Illinois).

The current practice location address for Allison Rae Tanck is 7303 N Knoxville Ave, Peoria, IL and can be reached out via phone at 309-691-4005 and via fax at 309-691-6144.

Location: 7303 N Knoxville Ave, Peoria, IL, 61614-2017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144425174
Provider Name
Allison Rae Tanck
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
7303 N Knoxville Ave, Peoria, IL, 61614-2017
Phone Number
309-691-4005
Fax Number
309-691-6144
Provider Enumeration Date
06/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
114425174 01 IL NPI
institution
Provider Business Practice Location Address Details
Address
7303 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614-2017
Phone Number
309-691-4005
Fax Number
309-691-6144
person
Provider Business Mailing Address Details
Address
7303 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614-2017
Phone Number
309-691-4005
Fax Number
309-691-6144
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036130952 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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