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Organization
NEHEMIAH TAN, MD, S.C.
Active
Organization
NEHEMIAH TAN, MD, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEHEMIAH T TAN M.D. (OWNER/PRESIDENT)
(217) 876-6880
Entity
Organization
Contact information
Practice address
2499 N MONROE ST, DECATUR, IL 62526-4368
(217) 876-6880
(217) 876-6885
Mailing address
2499 N MONROE ST, DECATUR, IL 62526-3941
(217) 876-6880
(217) 876-6885
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036-085107
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085107
—
IL
Enumeration date
08/10/2006
Last updated
10/20/2014
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