Individual
WENDY TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 W HARRISON ST, CHICAGO, IL 60612-4861
(312) 243-4244
Mailing address
1611 W HARRISON ST, CHICAGO, IL 60612-4861
(312) 243-4244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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