Marion Tan, | |
245 S Gary Ave, Bloomingdale, IL 60108-2228 | |
(630) 893-5230 | |
(630) 893-5837 |
Full Name | Marion Tan |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 245 S Gary Ave, Bloomingdale, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427666304 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.025913 (Illinois) | Primary |
163W00000X | Registered Nurse | 041.456357 (Illinois) | Secondary |
Entity Name | Access Community Health Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982783692 PECOS PAC ID: 9537076112 Enrollment ID: O20031204000985 |
Mailing Address | Practice Location Address |
---|---|
Marion Tan, 1714 Napa Suwe Ln, Wauconda, IL 60084-1409 Ph: () - | Marion Tan, 245 S Gary Ave, Bloomingdale, IL 60108-2228 Ph: (630) 893-5230 |
Jessica Claire Drew, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 E Army Trail Rd, Suite 100, Bloomingdale, IL 60108 Phone: 630-980-8600 Fax: 630-980-8650 | |
Katie Coffman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 E Lake St, Bloomingdale, IL 60108 Phone: 847-278-1527 | |
Kristen Klocker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 473 W Army Trail Rd, 103, Bloomingdale, IL 60108 Phone: 630-529-6969 | |
Ms. Lashonda Stockley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Tiffany Pt Ste 106, Bloomingdale, IL 60108 Phone: 224-653-9507 Fax: 224-653-9387 | |
Ms. Nirmal Dass, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Tiffany Pt Ste 110, Bloomingdale, IL 60108 Phone: 630-924-1160 Fax: 630-924-1162 | |
Marnella Elizalde, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 Fairfield Way Ste 207, Bloomingdale, IL 60108 Phone: 630-915-2037 | |
Sharon Marie Lundberg, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 E Army Trail Rd Ste 403, Bloomingdale, IL 60108 Phone: 630-894-7083 Fax: 630-894-9472 |