Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 036.156620 | IL |
NPI | 1851884522 |
---|---|
Provider Name | Francesco Tani |
First Address | Salinas, CA 93906-3100 |
Second Address | Chicago, IL 60612-3801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2018 |
Last Update Date | 22/06/2021 |