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Allan Manuel Taaca

Surgery

Allopathic & Osteopathic Physicians

1900 W Polk St., Admin Building 10th Floor, John. H. Stroger Jr. Hospital Of Cook County, Chicago, IL 60612

PECOS Enrollment

This provider is enrolled in PECOS as ALLAN TAACA.

Based on the most recent information from CMS, provider Allan Manuel Taaca is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1255587770
Provider Type
Individual
Full Name
Taaca, Allan Manuel
Gender
Male

Sole Proprietor
No
Enumeration Date
8/15/2008
Last Updated
5/2/2012

Contact Information

Practice Location

1900 W Polk St., Admin Building 10th Floor, John. H. Stroger Jr. Hospital Of Cook County, Chicago, IL 60612

(312) 864-0065

Unlisted Fax

Mailing Location

7818 Del Ct, Darien, IL 60561-4550

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208600000X Primary	Description Surgery Allopathic & Osteopathic Physicians	License 125053965 Illinois

Allan Manuel Taaca

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Lunt, Lilia Grace

Chang, Jaimie

Lester, Erica

Gutti, Subhash

Stewart, John H

Heiden, Katherine Bernadette

Kuhn, Ryan

Chalman, Mckenna Jay

Friedman, Lindsay Rae

Drugas, Diane Marie