Organization
AILYN TAN MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AILYN U TAN MD (OWNER)
(773) 989-1422
Entity
Organization
Contact information
Practice address
5025 N PAULINA ST, CHICAGO, IL 60640-2772
(773) 989-1422
Mailing address
PO BOX 1145, LIBERTYVILLE, IL 60048-4145
(773) 989-1422
(773) 989-1446
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
IL
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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