Individual
BRADFORD TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2520 ELISHA AVE, ZION, IL 60099-2676
(847) 872-4888
Mailing address
2520 ELISHA AVE, ZION, IL 60099-2676
(847) 872-4561
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
036081859
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036081859
IL
Other
Enumeration date
01/31/2006
Last updated
01/22/2024
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