Organization Name: | DAVID TARTOF MD, PHD, INC |
NPI Number: | 1114104528 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID TARTOF (SOLE PROPRIETOR) |
Mailing Address: | 2525 S Michigan Ave Doctors Office Center - 2nd Floor Chicago |
State: | IL US |
Postal Code: | 606162333 |
Phone Number: | 3123155115 |
Fax Number: | 3129868694 |
NPI Enumeration Date: | 01/28/2008 |
NPI Last Update Date: | 09/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 036044364 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |