Basic Information
| Provider Information | |||||||||
| NPI: | 1881854669 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TUERK | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | MCCANN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15750 MARIAN DR | ||||||||
| Address2: | LOYOLA CENTER FOR HEALTH AT HOMER GLEN | ||||||||
| City: | HOMER GLEN | ||||||||
| State: | IL | ||||||||
| PostalCode: | 604916200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7086453400 | ||||||||
| FaxNumber: | 7086453472 | ||||||||
| Practice Location | |||||||||
| Address1: | 15750 MARIAN DR | ||||||||
| Address2: | LOYOLA CENTER FOR HEALTH AT HOMER GLEN | ||||||||
| City: | HOMER GLEN | ||||||||
| State: | IL | ||||||||
| PostalCode: | 604916200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7086453400 | ||||||||
| FaxNumber: | 7086453472 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2008 | ||||||||
| LastUpdateDate: | 05/05/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/05/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 036.122390 | IL | N | Allopathic & Osteopathic Physicians | Pediatrics | 207R00000X | 036.122390 | IL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.