Tan, Evangeline C

Tan, Evangeline C is an individual health care provider with primary practice located at 1900 E Main St , Danville IL 61832-5100. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Tan, Evangeline C can be contacted via phone (217) 554-3000.

Contact Information

Primary practice address
1900 E Main St Danville IL 61832-5100
Phone: (217) 554-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036065332 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036065332 Illinois

Profile Details

NPI number 1770540924
LBN Legal business name Tan, Evangeline C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Mar 29th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770540924 NPPES
Illinois MEDICAID 036065332

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