Andrea Tan

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071011358 Issued in IL

Practice address

2464 N Clybourn Ave Ste 210
Chicago, IL 60614-1918

Phone

(773) 888-1681

NPI assigned

Jan 3, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1407665425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2464 N CLYBOURN AVE STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 N CLYBOURN AVE STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141918",
            "telephone_number": "773-888-1681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606475413",
            "country_code": "US",
            "telephone_number": "773-888-1681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071011358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnes Tan, RDH
• Ailyn U Tan, M.D.
• Alan M Tan, PT
• Alvin Chiu Tan, B.S.N., RN
• Amanda Bernice Tan, PTA
• Anton Tan, M.D.
• Aron Tan, PA-C
• Barry Tan
• Bruce Kuang-Huay Tan, M.D
• Bryan E Xin Tan, MD

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.