NICHOLAS TAN

CHICAGO, IL
NPI1417643040
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125.084523)
Enumeration Date2023-04-17
Last Update Date2024-07-23
Business Address
NICHOLAS TAN BS
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number: 866-600-2273
Mailing Address
NICHOLAS TAN BS
1717 E 9TH ST APT 1112
CLEVELAND, OH 44114-2813
Phone number: 203-451-8955