Tanna, Shital

Tanna, Shital is an individual health care provider with primary practice located at 1710 N Randall Road Suite 200, Elgin IL 60123-4717. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tanna, Shital can be contacted via phone (847) 214-5770.

Contact Information

Primary practice address
1710 N Randall Road Suite 200 Elgin IL 60123-4717
Phone: (847) 214-5770
Fax: (847) 214-5777
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036094105 Illinois

Profile Details

NPI number 1578561767
LBN Legal business name Tanna, Shital
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated May 5th, 2022 - about 3 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 1578561767 NPPES
Illinois MEDICAID 036094105
Illinois Other 347923353
Illinois Other P00114561
Illinois Other 610033301
Illinois Other 04532170
Illinois Other DB0387

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