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1518112267
KEITH D TATKA
EVERGREEN PARK, IL
NPI
1518112267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 036124197)
Enumeration Date
2008-11-21
Last Update Date
2019-07-12
Business Address
Dr. KEITH D TATKA D.O.
2800 W 95TH ST
EVERGREEN PARK, IL 60805-2701
Phone number: 708-229-5600
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Mailing Address
Dr. KEITH D TATKA D.O.
2800 W 95TH ST
EVERGREEN PARK, IL 60805-2701
Phone number: 708-229-5600
Copy
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