Individual
ZHONG ZI TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 S TALMAN AVE, CHICAGO, IL 60632-1132
(312) 863-1180
Mailing address
4000 S TALMAN AVE, CHICAGO, IL 60632-1132
(312) 863-1180
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.015169
IL
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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