Han, Tina S

Han, Tina S is an individual health care provider with primary practice located at 601 W Golf Rd Suite 105, Mt Prospect IL 60056-4276. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Han, Tina S can be contacted via phone (847) 439-8780.

Contact Information

Primary practice address
601 W Golf Rd Suite 105 Mt Prospect IL 60056-4276
Phone: (847) 439-8780
Fax: (847) 298-6395
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 336073885 Illinois

Profile Details

NPI number 1336141126
LBN Legal business name Han, Tina S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Feb 1st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336141126 NPPES
Illinois MEDICAID 036109348
Illinois Other 1616108

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