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1881782126
ERNESTO TAN, M.D.S.C.
JOLIET, IL
NPI
1881782126
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Entity Type
Organization
Authorized Contact
ERNESTO TAN
President
815-741-1020
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
(Licence: IL 036049705)
Enumeration Date
2006-10-11
Last Update Date
2020-08-22
Business Address
ERNESTO TAN, M.D.S.C.
2400 GLENWOOD AVE STE 210
JOLIET, IL 60435-5498
Phone number: 815-741-1020
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Mailing Address
ERNESTO TAN, M.D.S.C.
2400 GLENWOOD AVE STE 210
JOLIET, IL 60435-5498
Phone number: 815-741-1020
Copy
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