Individual
MRS. MARLENE TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
132 W LAKE ST UNIT 15, BLOOMINGDALE, IL 60108-1020
(847) 410-9018
(941) 200-3938
Mailing address
132 W LAKE ST UNIT 15, BLOOMINGDALE, IL 60108-1020
(847) 410-9018
(941) 200-3938
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277.000227
IL
363LF0000X
Family Nurse Practitioner
277000227
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
277000227
IL
Other
Enumeration date
05/31/2007
Last updated
08/23/2025
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