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1265446017
PAUL C TACK
GURNEE, IL
NPI
1265446017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036097015)
Enumeration Date
2006-07-28
Last Update Date
2014-07-29
Business Address
Dr. PAUL C TACK M.D.
501 N RIVERSIDE DR SUITE 102
GURNEE, IL 60031-5918
Phone number: 847-625-8300
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Mailing Address
Dr. PAUL C TACK M.D.
501 N RIVERSIDE DR SUITE 216
GURNEE, IL 60031-5918
Phone number: 847-625-8300
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