Individual
DR. IGNATIUS TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, DEPT 3462, CHICAGO, IL 60612-7232
(312) 704-2885
(312) 704-2737
Mailing address
820 S WOOD ST # MC793, 462 CSN, CHICAGO, IL 60612-4325
(312) 413-5732
(312) 996-7378
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036110985
IL
208600000X
Surgery Physician
036110985
IL
Other
Enumeration date
09/22/2006
Last updated
10/23/2014
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