AILYN TAN MD SC (NPI# 1497942783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497942783 |
Entity Type | Organization |
Organization Name | AILYN TAN MD SC |
Practice Address |
5025 N Paulina St Chicago IL 60640-2772 |
Mailing Address |
Po Box 1145 Libertyville IL 60048-4145 |
Practice Telephone | 7739891422 |
Mailing Telephone | 7739891422 |
Mailing Fax Number | 7739891446 |
Enumeration Date | 2007-10-01 |
Last Update Date | 2007-10-01 |
Authorized Official Name | DR. AILYN U TAN (OWNER) |
Authorized Official Telephone | 7739891422 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | IL | Laboratories |
Street Address |
5025 N PAULINA ST |
City | CHICAGO |
State | IL |
Zip Code | 60640-2772 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396729554 | Roman F Niziolek | Emergency Medicine | 5025 N Paulina St, Chicago, IL 60640-2772 | 2005-12-01 |
1376071993 | Hana L Keil | Social Worker | 5025 N Paulina St, Chicago, IL 60640-2772 | 2017-05-26 |
1013306240 | Jessica Wunder | Nurse Practitioner | 5025 N Paulina St, Chicago, IL 60640 | 2015-01-12 |
1205264116 | Lindsay Brooke Abbott | Nurse Practitioner | 5025 N Paulina St, Chicago, IL 60640-2772 | 2013-10-31 |
1386993582 | Reet Wangerin | Anesthesiology | 5025 N Paulina St, Chicago, IL 60640-2772 | 2012-09-04 |
1558698589 | Bethany Homes and Methodist Hospital | Internal Medicine | 5025 N Paulina St, Chicago, IL 60640-2772 | 2009-11-12 |
1831365121 | Floarea Chis | Anesthesiology | 5025 N Paulina St, Chicago, IL 60640-2772 | 2008-05-06 |
1174644389 | Lakeside Radiologists, Sc | Radiology | 5025 N Paulina St, Chicago, IL 60640-2772 | 2007-04-03 |
1790805778 | Zarina Z. Bandukwala | Emergency Medicine | 5025 N Paulina St, Chicago, IL 60640-2772 | 2007-03-31 |
1508980889 | Illinois Medical Care Ltd | Internal Medicine | 5025 N Paulina St, Chicago, IL 60640-2772 | 2007-03-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
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Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437778487 | Special Friend Laboratory LLC | Clinical Medical Laboratory | 9212 S Commercial Ave, Chicago, IL 60617-4508 | 2020-04-10 |
1346886058 | Kc Med Labratory | Clinical Medical Laboratory | 7518 S Ridgeland Ave, Chicago, IL 60649-3907 | 2019-11-18 |
1073097184 | 4every1 Lab Inc. | Clinical Medical Laboratory | 10723 S Halsted St, Chicago, IL 60628 | 2018-09-24 |
1063991735 | Omni Laboratory Services | Clinical Medical Laboratory | 5862 N Lincoln Ave Ste C2, Chicago, IL 60659-4628 | 2018-08-13 |
1992299119 | Lumi Diagnostics LLC | Clinical Medical Laboratory | 2222 W Division St Ste 220, Chicago, IL 60622-3094 | 2018-06-20 |
1821526328 | Abc Labs | Clinical Medical Laboratory | 6449 S Pulaski Rd Ste 108, Chicago, IL 60629-5148 | 2017-05-27 |
1780132068 | Trisys Medical Group | Clinical Medical Laboratory | 900 N Franklin St Ste 407, Chicago, IL 60610-3168 | 2016-09-15 |
1699222000 | Acculab Medical Testing Inc | Clinical Medical Laboratory | 2600 S Michigan Ave Ste 212, Chicago, IL 60616-2859 | 2016-09-01 |
1740733708 | Tempus Labs Inc. | Clinical Medical Laboratory | 600 W Chicago Ave Ste 510, Chicago, IL 60654 | 2016-07-26 |
1073978631 | Southshore Medi Lab Inc | Clinical Medical Laboratory | 4651 W 79th St Ste 204, Chicago, IL 60652-1775 | 2015-12-28 |
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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.