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Search › Illinois › 2255A2300X

Tanner Maksymicz

NPI 1457807414 · on the registry since 2016

Practice

Address
1 University Cir
Macomb, IL 61455
Phone
(765) 891-0503
Organisation at this address
Omaha Vamc
Beu Health Center
Beu Health Center Pharmacy
Western Illinois University
Western Illinois University Speech Language Hearing Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-08-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois