Active NPI
Ailyn Tan MD SC
- Clinical Medical Laboratory
- Chicago, IL
National Provider Identifier
1497942783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- AILYN TAN MD SC
- Practice address
- 5025 N Paulina St
Chicago, IL 60640-2772 - Phone
- (773) 989-1422
- NPI assigned
- Oct 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ailyn U Tan, MD
- Title
- Owner
- Phone
- (773) 989-1422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | IL | Primary |
Addresses
Primary practice location
5025 N Paulina St
Chicago, IL 60640-2772
Mailing address
PO Box 1145
Libertyville, IL 60048-4145
Phone (773) 989-1422
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191196800000",
"number": "1497942783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1145",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600484145",
"telephone_number": "773-989-1422",
"fax_number": "773-989-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5025 N PAULINA ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606402772",
"telephone_number": "773-989-1422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AILYN TAN MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-01",
"last_updated": "2007-10-01",
"status": "A",
"authorized_official_last_name": "TAN",
"authorized_official_first_name": "AILYN",
"authorized_official_middle_name": "U",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-989-1422",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.