Tan, Kelly Keh Lih
Tan, Kelly Keh Lih is an individual health care provider with primary practice located at 3880 Salem Lake Dr Ste F, Long Grove IL 60047-5292. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Tan, Kelly Keh Lih can be contacted via phone (847) 719-2220.Contact Information
Primary practice address
3880 Salem Lake Dr Ste F
Long Grove IL 60047-5292
Phone: (847) 719-2220
Fax: (847) 719-2265
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036119745 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125049167 | Illinois |
Profile Details
| NPI number | 1023299799 |
|---|---|
| LBN Legal business name | Tan, Kelly Keh Lih |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1023299799 | NPPES |
| Illinois | MEDICAID | 036119745 |
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