Search › Illinois › 208G00000X
Shun Tanaka
NPI 1811713985 · on the registry since 2024 · sole proprietor
Practice
- Address
- 5841 S. Maryland Ave. M/C 5040
Chicago, IL 60637 - Phone
- (773) 702-2500
Registry record
- Primary taxonomy
- 208G00000X
208G00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-02-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois