Tan, Jenny
Tan, Jenny is an individual health care provider with primary practice located at 3755 E Main St Ste 190, St Charles IL 60174-2463. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tan, Jenny can be contacted via phone (630) 348-3100.Contact Information
Primary practice address
3755 E Main St Ste 190
St Charles IL 60174-2463
Phone: (630) 348-3100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036101643 | Illinois |
Profile Details
| NPI number | 1477513208 |
|---|---|
| LBN Legal business name | Tan, Jenny |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jan 27th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477513208 | NPPES |
| Illinois | MEDICAID | 036101643 |
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