Tanlim, Albert C

Tanlim, Albert C is an individual health care provider with primary practice located at 845 S 4Th St Roberts Clinic Ltd, Watseka IL 60970-1628. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Tanlim, Albert C can be contacted via phone (815) 432-2461.

Contact Information

Primary practice address
845 S 4Th St Roberts Clinic Ltd Watseka IL 60970-1628
Phone: (815) 432-2461
Fax: (815) 432-2535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 036091262 Illinois

Profile Details

NPI number 1659342665
LBN Legal business name Tanlim, Albert C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Apr 11th, 2013 - about 13 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 1659342665 NPPES
Illinois MEDICAID 3711693620021
Illinois Other 03815080
Illinois MEDICAID 200386800A
Illinois Other K10959
Illinois MEDICAID 036091262

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