NPIMap

Individual provider Active NPI

William Seng Tan, D.O.

  • Family Medicine Physician
  • Olympia Fields, IL
National Provider Identifier
1891112306
Registry record updated Dec 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036144064 Issued in IL
Practice address
20060 Governors Dr Ste 204
Olympia Fields, IL 60461-1099
Phone
(708) 283-8300
Fax
(708) 283-9245
NPI assigned
Mar 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036144064 IL Primary

Addresses

Primary practice location

20060 Governors Dr Ste 204
Olympia Fields, IL 60461-1099

Mailing address

20060 Governors Dr Ste 204
Olympia Fields, IL 60461-1099
Phone (708) 283-8300

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address wtan283765@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170919004165 IL Practitioner - Family Practice 2163717364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20060 Governors Dr
Suite 204
Olympia Fields, IL 60461-1099
Phone (708) 283-8300

Hospital & facility affiliations

  • Franciscan Home Care Home health agency, Olympia Fields, IL, CCN 147267
  • Caress Home Health Care Inc Home health agency, Skokie, IL, CCN 147747
  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048
  • Franciscan Health Olympia & Chicago Heights Hospital, Olympia Fields, IL, CCN 140172
  • Ingalls Memorial Hospital Hospital, Harvey, IL, CCN 140191
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Franciscan Health Munster Hospital, Munster, IN, CCN 150165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036144064ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William Seng Tan, SC Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Savio Manatt, SC CurrentSince Aug 16, 2017 Accepting new patients

Locations

20060 Governors Dr
Ste 204
Olympia Flds, IL 60461
Phone (708) 283-8300

Organizations & group practices 2

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640390400000",
    "number": "1891112306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20060 GOVERNORS DR STE 204",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611099",
            "telephone_number": "708-283-8300",
            "fax_number": "708-283-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20060 GOVERNORS DR STE 204",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611099",
            "telephone_number": "708-283-8300",
            "fax_number": "708-283-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "WILLIAM",
        "middle_name": "SENG",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-21",
        "last_updated": "2021-12-25",
        "certification_date": "2021-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036144064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wtan283765@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20060 Governors Dr Ste 204",
            "city": "Olympia Fields",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604611099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "20060 Governors Dr Ste 204",
            "city": "Olympia Fields",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604611099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.