Tanq, Inc.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

036-094341 Issued in IL

Legal business name

TANQ, INC.

Practice address

18510 S Marilynn CT
Mokena, IL 60448-9517

Phone

(815) 717-6654

NPI assigned

Apr 16, 2008

Last updated

Jun 23, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Maria Tanquilut

Title

President

Phone

(815) 717-6654

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1306010731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18510 S MARILYNN CT",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489517",
            "telephone_number": "815-717-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18510 S MARILYNN CT",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489517",
            "telephone_number": "815-717-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANQ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "TANQUILUT",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-717-6654",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036-094341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick J Sweeney, MD
• Synergenx Health - Mokena LLC
• Hiba Tahir, PHARMD
• Sydney Talavera
• Ignacio Chan Talosig, PHYSICAL THERAPIST
• Tanveer & Tariq LLC
• Matthew John Tayon, DO
• Rhiannon Tennant, APN
• Poornima Thankachan
• The Holy Family Group, Inc. (Home Helpers)

• Vascular Surgery Physician in Mokena, IL
• Providers in Mokena, IL by specialty
• Vascular Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.