Evangeline C Tan, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

036065332 Issued in IL

Practice address

1900 E Main St
Danville, IL 61832-5100

Phone

(217) 554-3000

NPI assigned

Apr 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Department of Veterans Affairs

  • VA Clinic/Center
  • Decatur, IL
  • NPI 1538398656
  NPD (past)
• Veteran'S Administration

  • Federally Qualified Health Center (FQHC)
  • Decatur, IL
  • NPI 1043323793
  NPD (past)
• Central Illinois Lung Internist Associates, SC

  • Specialist
  • Saint Louis, MO
  • NPI 1053363192

  Pulmonary Disease

  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1770540924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E MAIN ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325100",
            "telephone_number": "217-554-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E MAIN ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325100",
            "telephone_number": "217-554-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "IL",
            "postal_code": "618562116",
            "country_code": "US",
            "telephone_number": "217-762-2115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3035 E Mound Rd",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625269650",
            "country_code": "US",
            "telephone_number": "217-875-2670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "EVANGELINE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036065332",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036065332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065332",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Swanson Family Practice PLLC
• Dina G Swanson, APRN-FPA, FNP-BC
• Mike Henry Swiersz
• Table Talk
• Emily Nicole Tabor, MSOT, OTR/L
• Matthew Tansy
• Abbie Taylor
• Natalie Taylor, CTRS
• Rebecca Ann Taylor, PHARM.D.
• Teresa L Taylor

• Pulmonary Disease Physician in Danville, IL
• Providers in Danville, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.