Individual
NEHEMIAH T TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 RICHMOND AVE E STE 3, MATTOON, IL 61938-4652
(217) 238-7000
(217) 234-2060
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
(217) 258-2581
(217) 258-2216
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036085107
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085107
—
IL
Enumeration date
04/28/2006
Last updated
04/06/2026
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