Individual
ELANA TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-6000
Mailing address
6611 OLIVER AVE S, RICHFIELD, MN 55423-2137
(612) 269-0396
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
59876
TN
Other
Enumeration date
05/22/2013
Last updated
10/04/2019
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