Maria Teresa Tam
Obstetrician & Gynecologist
2845 N Sheridan Rd Ste 902
Chicago
, Illinois 60657-7227
Maria Teresa Tam
Obstetrician & Gynecologist
2845 N Sheridan Rd Ste 902
Chicago
, Illinois 60657-7227
(872) 888-1206
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Maria Teresa Tam
- 2845 N Sheridan Rd Suite 902
- Chicago, IL
- Zip : 60657-7227
- Fax : (872) 888-1206
- Phone : (773) 904-8641
Second Address
- Maria Teresa Tam
- 2845 N Sheridan Rd Ste 902
- Chicago, IL
- Zip : 60657-7227
- Fax : (872) 888-1206
- Phone : (773) 904-8641
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 036093565 | IL |
National Provider Identifier
| NPI | 1003843517 |
|---|---|
| Provider Name | Maria Teresa Tam |
| First Address | Chicago, IL 60657-7227 |
| Second Address | Chicago, IL 60657-7227 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2006 |
| Last Update Date | 24/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036093565 | (05) | IL |
| 1620171 | BLUE CROSS BLUE SHIELD (01) | IL |
| G84064 | (02) |
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.