Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian Patrick Tabata, MD

Individual provider Emergency Medicine Physician · NPI 1053259564

Brian Patrick Tabata, MD is an Emergency Medicine Physician in Maywood, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (888) 584-7888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 125087210 (IL)

Record details

NPI number1053259564
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 24, 2026
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing address2160 S 1st Ave, Maywood, IL 60153-3328

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