Individual
JASON TAO KAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
2601 HOLME AVE, PHILADELPHIA, PA 19152-2007
(215) 335-7705
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125061616
IL
207P00000X
Emergency Medicine Physician
Primary
MD465853
PA
Other
Enumeration date
07/06/2012
Last updated
12/23/2021
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