Healthcare Provider Details

I. General information

NPI: 1881854669
Provider Name (Legal Business Name): EMILY MCCANN TUERK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2008
Last Update Date: 02/19/2024
Certification Date: 02/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 COMMERCE DR STE 500
OAK BROOK IL
60523-8865
US

IV. Provider business mailing address

1001 COMMERCE DR STE 500
OAK BROOK IL
60523-8865
US

V. Phone/Fax

Practice location:
  • Phone: 331-732-4410
  • Fax: 331-732-4411
Mailing address:
  • Phone: 331-732-4410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036.122390
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036.122390
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: