MEDICARE: DR. DEAN G TSARWHAS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RX0202X	Medical Oncology Physician	036086008	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093797987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEAN G TSARWHAS M.D.

Provider Business Mailing Address
First Line	:	660 N WESTMORELAND RD
Second Line	:	SUITE 100
City	:	LAKE FOREST
State	:	IL
Zip	:	60045-1659
Country	:	US
Telephone Number	:	847-582-2134
Fax Number	:	847-535-7858

Provider Business Practice Location Address
First Line	:	660 N WESTMORELAND RD
Second Line	:	SUITE 100
City	:	LAKE FOREST
State	:	IL
Zip	:	60045-1659
Country	:	US
Telephone Number	:	847-582-2134
Fax Number	:	847-535-7858

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	11/04/2015

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