Tan, Daisy

Tan, Daisy is an individual health care provider with primary practice located at 1675 Dempster St Fl 3 , Park Ridge IL 60068-1110. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Tan, Daisy can be contacted via phone (847) 318-9330.

Contact Information

Primary practice address
1675 Dempster St Fl 3 Park Ridge IL 60068-1110
Phone: (847) 318-9330
Fax: (847) 723-9441
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 070-012750 Illinois

Profile Details

NPI number 1669597332
LBN Legal business name Tan, Daisy
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Sep 12th, 2022 - about 4 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 1669597332 NPPES
Illinois Other 1617235 BLUE CROSS BLUE SHIELD

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