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Tisha Joerla Mirasol Tan, MD
Nephrology Physician in Crystal Lake, Illinois
NPI 1881959872

Tisha Joerla Mirasol Tan is a Nephrology Physician based in Joliet, IL and is specialized in Nephrology. Tisha Joerla Mirasol Tan practices in Crystal Lake, IL and has the professional credentials of MD. The NPI Number for Tisha Joerla Mirasol Tan is 1881959872 and holds a License No. 036137011 (Illinois).

The current practice location address for Tisha Joerla Mirasol Tan is 442 N Il Route 31, Crystal Lake, IL and can be reached out via phone at 224-238-3211 and via fax at 224-535-8215.

Location: 442 N Il Route 31, Crystal Lake, IL, 60434-3877
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881959872
Provider Name
Tisha Joerla Mirasol Tan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
442 N Il Route 31, Crystal Lake, IL, 60434-3877
Phone Number
224-238-3211
Fax Number
224-535-8215
Provider Enumeration Date
07/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
442 N Il Route 31
City
Crystal Lake
State
Illinois
Zip
60012-3709
Phone Number
224-238-3211
Fax Number
224-535-8215
person
Provider Business Mailing Address Details
Address
442 N Il Route 31
City
Crystal Lake
State
Illinois
Zip
60012-3709
Phone Number
224-238-3211
Fax Number
224-535-8215
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
036137011 (Illinois)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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