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1811296627
ANTHONY TOMAS TANTOCO
CHICAGO, IL
NPI
1811296627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207LP3000X Anesthesiology, Pediatric Anesthesiology
(Licence: IL 036136976)
Enumeration Date
2011-03-18
Last Update Date
2019-07-19
Business Address
ANTHONY TOMAS TANTOCO
225 E CHICAGO AVE
CHICAGO, IL 60611-2991
Phone number: 800-543-7362
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Mailing Address
ANTHONY TOMAS TANTOCO
225 E CHICAGO AVE
CHICAGO, IL 60611-2991
Phone number: 800-543-7362
Copy
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