Provider Demographics
NPI:1881081693
Name:TAUB MEDICAL CONSULTING INC
Entity type:Organization
Organization Name:TAUB MEDICAL CONSULTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:TAUB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-735-8208
Mailing Address - Street 1:2300 N LINCOLN PARK W
Mailing Address - Street 2:SUITE 219
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-3456
Mailing Address - Country:US
Mailing Address - Phone:312-735-8208
Mailing Address - Fax:312-268-5297
Practice Address - Street 1:2300 N LINCOLN PARK W
Practice Address - Street 2:SUITE 219
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-3456
Practice Address - Country:US
Practice Address - Phone:312-735-8208
Practice Address - Fax:312-268-5297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-20
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty