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1043201072
TANYA M POWELL
PARK RIDGE, IL
NPI
1043201072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: IL 036111022)
Enumeration Date
2005-10-31
Last Update Date
2021-12-27
Business Address
Dr. TANYA M POWELL M.D.
1700 LUTHER LN
PARK RIDGE, IL 60068-1270
Phone number: 630-205-6612
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Mailing Address
Dr. TANYA M POWELL M.D.
700 COMMERCE DR SUITE 500
OAK BROOK, IL 60523-1546
Phone number: 847-698-0600
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