Tan, Eveline Faith

Tan, Eveline Faith is an individual health care provider with primary practice located at 2001 S Wiesbrook Rd , Wheaton IL 60189. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Tan, Eveline Faith can be contacted via phone (630) 614-4000.

Contact Information

Primary practice address
2001 S Wiesbrook Rd Wheaton IL 60189
Phone: (630) 614-4000
Fax: (630) 614-4048
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016004847 Illinois

Profile Details

NPI number 1295731370
LBN Legal business name Tan, Eveline Faith
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jun 29th, 2018 - about 6 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 1295731370 NPPES
Illinois Other K37096 MEDICARE PTAN (INDIVIDUAL)
Illinois Other 592050 MEDICARE PTAN (INDIVIDUAL)
Illinois Other P00448606 MEDICARE PTAN (INDIVIDUAL)

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