ISAAC TAN

PEORIA, IL
NPI1710336631
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL  125069233)
Enumeration Date2016-06-10
Last Update Date2016-06-10
Business Address
-- ISAAC TAN M.D.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 217-521-3074
Mailing Address
-- ISAAC TAN M.D.
1110 N INSTITUTE PL
PEORIA, IL 61606-1019
Phone number:
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