Provider Demographics
NPI:1891112306
Name:TAN, WILLIAM SENG (DO)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:SENG
Last Name:TAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:20060 GOVERNORS DR STE 204
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA FIELDS
Mailing Address - State:IL
Mailing Address - Zip Code:60461-1099
Mailing Address - Country:US
Mailing Address - Phone:708-283-8300
Mailing Address - Fax:708-283-9245
Practice Address - Street 1:20060 GOVERNORS DR STE 204
Practice Address - Street 2:
Practice Address - City:OLYMPIA FIELDS
Practice Address - State:IL
Practice Address - Zip Code:60461-1099
Practice Address - Country:US
Practice Address - Phone:708-283-8300
Practice Address - Fax:708-283-9245
Is Sole Proprietor?:No
Enumeration Date:2014-03-21
Last Update Date:2021-12-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036144064207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine