Individual
REGINA TSANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
10258 SOUTHWEST HWY STE A, CHICAGO RIDGE, IL 60415-1361
(708) 346-9533
(708) 499-4312
Mailing address
9500 BORMET DR STE 204, MOKENA, IL 60448-8399
(708) 346-4040
(708) 346-3287
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.016915
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.016915
IL STATE LICENSE
IL
Enumeration date
04/05/2018
Last updated
04/05/2018
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