Tan, Jennifer Lynn

Tan, Jennifer Lynn is an individual health care provider with primary practice located at 820 S Rand Rd , Lake Zurich IL 60047-2465. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Tan, Jennifer Lynn can be contacted via phone (847) 438-4949.

Contact Information

Primary practice address
820 S Rand Rd Lake Zurich IL 60047-2465
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051295149 Illinois

Profile Details

NPI number 1164700753
LBN Legal business name Tan, Jennifer Lynn
Credentials PHARM D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2011
Last updated Oct 29th, 2020 - 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 1164700753 NPPES
Illinois Other 051.295149 STATE OF ILLINOIS LICENSE

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