NPI 1164895165

Hebert Tascon, INC

Practitioner Private Vehicle Chicago, IL

Practice location

Address: 5828 N Maplewood Ave, Chicago, IL 60659-5013
Phone: (773) 984-8587

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence T250-3205-424901 (WI)

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Registry record

NPI: 1164895165
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Nov 2015
Record last updated: 12 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.