DR. GALO LIM TAN MD NPI 1003801226

NPI Information

NPI: 1003801226
Provider Name: DR. GALO LIM TAN, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
135 N GREENLEAF ST
STE 212
GURNEE, IL
ZIP 60031
Phone: (847) 244-7901
Get Directions

DR. Galo Lim Tan, MD is a neurology psychiatry neurology in Gurnee, IL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Galo Lim Tan, MD NPI is 1003801226. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

135 N GREENLEAF ST
STE 212
GURNEE, IL
ZIP 60031-393
Phone: (847) 244-7901
Fax: (847) 244-8023

The enumeration date for this NPI number is 9/14/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology		ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4900521	OTHER	ILLINOIS	BLUE CROSS
2	314600	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
3	C44601	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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