person
Ernesto Tan, MD
Urology Physician in Lockport, Illinois
NPI 1699882084

Ernesto Tan is a Urology Physician based in Chicago Ridge, IL. Ernesto Tan practices in Lockport, IL and has the professional credentials of MD. The NPI Number for Ernesto Tan is 1699882084 and holds a License No. 036049705 (Illinois).

The current practice location address for Ernesto Tan is 300 Read St Ste A, Lockport, IL and can be reached out via phone at 815-741-1020 and via fax at 815-741-1064.

Location: 300 Read St Ste A, Lockport, IL, 60415-2394
person
Provider Profile Details
NPI Number
1699882084
Provider Name
Ernesto Tan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
300 Read St Ste A, Lockport, IL, 60415-2394
Phone Number
815-741-1020
Fax Number
815-741-1064
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IL3265 01 GROUP MEDICARE PTAN
1467471540 01 GROUP NPI
DF2482 01 RR PTAM
institution
Provider Business Practice Location Address Details
Address
300 Read St Ste A
City
State
Zip
60441-3265
Phone Number
815-741-1020
Fax Number
815-741-1064
person
Provider Business Mailing Address Details
Address
300 Read St Ste A
City
State
Zip
60441-3265
Phone Number
815-741-1020
Fax Number
815-741-1064
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
036049705 (Illinois)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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