EVELINE FAITH TAN (NPI# 1295731370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295731370 |
| Entity Type | Individual |
| Full Name | EVELINE FAITH TAN |
| Credential | DPM |
| Practice Address |
2001 S Wiesbrook Rd Wheaton IL 60189 |
| Mailing Address |
2001 S Wiesbrook Rd Wheaton IL 60189-7813 |
| Practice Telephone | 6306144000 |
| Practice Fax Number | 6306144048 |
| Mailing Telephone | 6306144000 |
| Mailing Fax Number | 6306144048 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2018-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016004847 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN (INDIVIDUAL) | K37096 | 01 |
| IL | RR MEDICARE | P00448606 | 01 |
| IL | MEDICARE PTAN (GROUP) | 592050 | 01 |
| Street Address |
2001 S WIESBROOK RD |
| City | WHEATON |
| State | IL |
| Zip Code | 60189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194106351 | Kathleen Jane Ryan Schroeder | Family Medicine | 2001 S Wiesbrook Rd, Wheaton, IL 60189 | 2015-06-14 |
| 1275927998 | Luke Lusk | Counselor | 2001 S Wiesbrook Rd, Wheaton, IL 60189-7813 | 2015-03-19 |
| 1720404676 | Dana L Kolzow | Counselor | 2001 S Wiesbrook Rd, Wheaton, IL 60189-7813 | 2014-03-14 |
| 1750621058 | Matthew Thomas Rome | Counselor | 2001 S Wiesbrook Rd, Wheaton, IL 60189-7813 | 2013-02-22 |
| 1407125081 | Tonya Davis | Counselor | 2001 S Wiesbrook Rd, Wheaton, IL 60189-7813 | 2011-12-27 |
| 1295886356 | Cynthia A George-michalik | Family Medicine | 2001 S Wiesbrook Rd, Wheaton, IL 60189 | 2007-01-16 |
| 1316045206 | Lori L Laycock | Family Medicine | 2001 S Wiesbrook Rd, Wheaton, IL 60189 | 2006-09-21 |
| 1689781742 | Maritsa T Pedersen | Family Medicine | 2001 S Wiesbrook Rd, Wheaton, IL 60189-7813 | 2006-08-24 |
| 1619082856 | Jason M Carter | Family Medicine | 2001 S Wiesbrook Rd, Wheaton, IL 60189 | 2006-08-20 |
| 1932214186 | Ronald G Severino | Family Medicine | 2001 S Wiesbrook Rd, Wheaton, IL 60189 | 2006-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437633476 | Elizabeth Marie Donisch | Dietitian, Registered | 1288 Salford Ct., Wheaton, IL 60189 | 2018-09-15 |
| 1144716457 | Rangsons Healthcare, LLC | Psychiatry & Neurology | 1737 S Naperville Rd Ste 203, Wheaton, IL 60189 | 2018-07-10 |
| 1407372204 | Patricia E Janosy | Social Worker | 2s533 White Birch Labe, Wheaton, IL 60189 | 2017-08-14 |
| 1700300969 | Caroline Bartholomew | Speech-Language Pathologist | 15 Venetian Way, Wheaton, IL 60189 | 2017-07-31 |
| 1164951521 | Celinne Mencias | Nurse Practitioner | 1489 S. Prospect St., Wheaton, IL 60189 | 2017-06-08 |
| 1922496496 | Adventist Health Partners, Inc. | Family Medicine | 1147 E Butterfield Rd, Wheaton, IL 60189 | 2015-01-06 |
| 1821491937 | West Suburban Endodontics LLC | Dentist | 1749 S Naperville Road, Suite 100, Wheaton, IL 60189 | 2014-10-02 |
| 1467855841 | Veronika Vlasov | Chiropractor | 1445 S. Lorraine Rd. #211, Wheaton, IL 60189 | 2014-09-30 |
| 1053754242 | Donald Jeffery Ebalo | Internal Medicine | 25 W 740 Red Maple Lane, Wheaton, IL 60189 | 2013-04-08 |
| 1841532694 | Inclusive Assistance Corp | Nursing Care | 2s680 Cree Lane, Wheaton, IL 60189 | 2013-03-20 |
| Find all providers in zip 60189 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053769596 | Emmanuella Maria Eastman | Podiatrist | 2730 University Blvd W Ste 100, Wheaton, MD 20902-1905 | 2016-05-25 |
| 1316030943 | Northwest Podiatry Center, Ltd | Podiatrist | 705 Warrenville Rd Ste B, Wheaton, IL 60189-6379 | 2006-10-02 |
| 1871560235 | Donald E Nichols IIi | Podiatrist | 1525 N Main St, Wheaton, IL 60187-3583 | 2006-03-03 |
| 1003812124 | Montgomery Foot and Ankle Associates | Podiatrist | 2730 University Blvd W, Suite 1000, Wheaton, MD 20902-1905 | 2005-06-23 |
| 1073902474 | Dupage Foot and Ankle LLC | Podiatrist | 1525 N Main St, Wheaton, IL 60187-3583 | 2015-01-22 |
| 1104065291 | Adam William Bryniczka | Podiatrist | 705 Warrenville Rd Ste B, Wheaton, IL 60189-6379 | 2009-02-12 |
| 1902051840 | Richard Royal Leitzen | Podiatrist | 705 Warrenville Rd, Suite B, Wheaton, IL 60189-6379 | 2008-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930485 | Mid America Foot & Ankle Specialist Illinois LLC | Podiatrist | 2003 Montgomery Rd Ste 108109, Aurora, IL 60504-9078 | 2020-07-22 |
| 1265040026 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 4121 Fairview Ave Ste 102, Downers Grove, IL 60515-2266 | 2020-07-17 |
| 1316563612 | Jacob Tilsley | Podiatrist | 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 | 2020-06-22 |
| 1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
| 1386263895 | C James Anderson Dpm LLC | Podiatrist | 717 Insight Ave Ste 100, O Fallon, IL 62269-2193 | 2020-04-14 |
| 1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
| 1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
| 1538623947 | Steven B Overpeck Dpm PC | Podiatrist | 25520 S Pheasant Ln Unit K, Channahon, IL 60410-8808 | 2019-01-30 |
| 1366916355 | Center for Foot and Ankle Surgery Ltd | Podiatrist | 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 | 2019-01-14 |
| 1497224950 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 1288 S Us Highway 12, Fox Lake, IL 60020-1950 | 2018-11-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.