Tang, Juelin
Tang, Juelin is an sole proprietor health care provider with primary practice located at 9710 Southwest Hwy , Oak Lawn IL 60453-3615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tang, Juelin can be contacted via phone (708) 424-2082.Contact Information
Primary practice address
9710 Southwest Hwy
Oak Lawn IL 60453-3615
Phone: (708) 424-2082
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036072144 | Illinois |
Profile Details
NPI number | 1033183793 |
---|---|
LBN Legal business name | Tang, Juelin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 16th, 2006 |
Last updated | Dec 8th, 2021 - about 4 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 | 1033183793 | NPPES |
Illinois | MEDICAID | 036073144 |
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