Look up the most recent NPI and PECOS records

Joao Fernando Kazan Tannus

Radiology

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as JOAO TANNUS.

Based on the most recent information from CMS, provider Joao Fernando Kazan Tannus 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 7 days ago.

Profile Details

Provider ID
1518178235
Provider Type
Individual
Full Name
Tannus, Joao Fernando Kazan
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/24/2007
Last Updated
11/11/2021

Contact Information

Practice Location

2160 S 1st Ave, Maywood, IL 60153-3328

(708) 216-9000

Unlisted Fax

Mailing Location

2160 S 1st Ave, Maywood, IL 60153-3328

(708) 216-9000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 036136667 Illinois

Joao Fernando Kazan Tannus

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mallik, Atul K

Gabriel, Mehdat

Boychev, George

Sheikh, Muhammad M

Edwards, Teresa Michelle

Mian, Farukh Saeed

Thapa, Nihal

Mahon, Scott James

Farag, Mitchell

Chiang, Andrew