Organization
AN KON TSAI M.D.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AN KON TSAI M.D. (PRESIDENT)
(708) 636-1355
Entity
Organization
Contact information
Practice address
10448 S PULASKI RD, SUITE 3, OAK LAWN, IL 60453-4895
(708) 636-1355
(708) 636-1485
Mailing address
PO BOX 314, OAK LAWN, IL 60454-0314
(708) 636-1355
(708) 636-1485
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021605077
BLUE CROSS BLUE SHIELD
IL
01
—
0585849
AETNA HEALTH OF IL INC
—
01
—
10659955286
HUMANA
—
01
—
DE4529
MEDICARE RAILROAD CARRIER
IL
Enumeration date
09/26/2006
Last updated
08/22/2020
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