Dr. Erin Michelle Taback
Pediatrician
1107 Chicago Ave
Oak Park
, Illinois 60302-1803
Dr. Erin Michelle Taback
Pediatrician
1107 Chicago Ave
Oak Park
, Illinois 60302-1803
(708) 383-2969
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Erin Michelle Taback
- 1107 Chicago Ave
- Oak Park, IL
- Zip : 60302-1803
- Fax : (708) 383-2969
- Phone : (708) 383-2900
Second Address
- Dr. Erin Michelle Taback
- 1107 Chicago Ave
- Oak Park, IL
- Zip : 60302-1803
- Fax : (708) 383-2969
- Phone : (708) 383-2900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 036-098343 | IL |
National Provider Identifier
| NPI | 1003900556 |
|---|---|
| Provider Name | Dr. Erin Michelle Taback |
| First Address | Oak Park, IL 60302-1803 |
| Second Address | Oak Park, IL 60302-1803 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2006 |
| Last Update Date | 27/01/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036-098343 | IL LICENSE (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.