Ernesto Tan, MD

NPI #1699882084 in Lockport, Illinois

Provider Information

NPI Number: 1699882084
Entity Type: Individual
Name: Ernesto Tan, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: MD
Enumeration Date: Aug 23, 2006
Last Updated: Aug 30, 2023

Practice Location

Address: 300 READ ST STE A
City: Lockport
State: Illinois
ZIP Code: 60441-3265
Phone: (815) 741-1020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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