Tan, Anton

Tan, Anton is an individual health care provider with primary practice located at 1501 S California Ave , Chicago IL 60608-1732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Tan, Anton can be contacted via phone (773) 257-6498.

Contact Information

Primary practice address
1501 S California Ave Chicago IL 60608-1732
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Illinois

Profile Details

NPI number 1720088099
LBN Legal business name Tan, Anton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 13th, 2026 - about 3 months 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 1720088099 NPPES
Illinois MEDICAID 036-048633-3

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