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1588612394
FREDERICK T TAN
CHICAGO, IL
NPI
1588612394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036053799)
Enumeration Date
2006-05-04
Last Update Date
2007-07-09
Business Address
Dr. FREDERICK T TAN M.D.
2701 W 68TH ST
CHICAGO, IL 60629-1813
Phone number: 773-884-7930
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Mailing Address
Dr. FREDERICK T TAN M.D.
2701 W 68TH ST
CHICAGO, IL 60629-1813
Phone number: 773-884-7930
Copy
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