Individual
EVANGELINE C TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-3000
Mailing address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036065332
IL
207RP1001X
Pulmonary Disease Physician
Primary
036065332
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036065332
—
IL
Enumeration date
04/28/2006
Last updated
03/29/2019
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