Provider Demographics
NPI:1356620371
Name:TANG, GILBERT SIU FAI (MD)
Entity type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:SIU FAI
Last Name:TANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:676 NORTH ST. CLAIR
Mailing Address - Street 2:NORTHWESTERN MEMORIAL HOSPITAL, DEPT OF ANESTHESIOLOGY
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2908
Mailing Address - Country:US
Mailing Address - Phone:312-933-2783
Mailing Address - Fax:
Practice Address - Street 1:676 NORTH ST. CLAIR
Practice Address - Street 2:NORTHWESTERN MEMORIAL HOSPITAL, DEPT OF ANESTHESIOLOGY
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2908
Practice Address - Country:US
Practice Address - Phone:312-933-2783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301099229390200000X
IL125060759390200000X
IL036.138308207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program