Individual
DR. FREDERICK T TAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(773) 884-7930
(773) 884-8066
Mailing address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(773) 884-7930
(773) 884-8066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
05/04/2006
Last updated
07/09/2007
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