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Individual

MERITA RC TAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
150 E. HURON STREET, 825, CHICAGO, IL 60611
(312) 751-7515
(312) 751-1208
Mailing address
150 E. HURON STREET, 825, CHICAGO, IL 60611
(312) 751-7515
(312) 751-1208

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
IL

Other

Enumeration date
08/11/2006
Last updated
07/08/2007
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