Individual
DR. JUELIN TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9710 SOUTHWEST HWY, OAK LAWN, IL 60453-3615
(708) 424-2082
Mailing address
9710 SOUTHWEST HWY, OAK LAWN, IL 60453-3615
(708) 403-7410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036072144
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036073144
—
IL
Enumeration date
02/16/2006
Last updated
12/08/2021
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