Search › Illinois › 207Q00000X
Tanner Bennett, DO
NPI 1992444368 · on the registry since 2022 · sole proprietor
Practice
- Address
- 9555 S 52nd Ave
Oak Lawn, IL 60453 - Phone
- (708) 422-5700
- Fax
- (708) 422-8225
- Clinicians at this address
- 83
Additional practice sites
- 1 Genesys Pkwy, Grand Blanc, MI
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207P00000X
390200000X - Licence states on file
- MI, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-12
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