Individual provider · Type 1 NPI

Regina Angeleyne Tan, PA-C

Surgical Physician Assistant · Palos Heights, IL

NPI number 1851174353 Active

Practice location

12251 S 80th Ave Ste 1520
Palos Heights, IL 60463-1290

Fax (708) 923-4201

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700

Other practice locations

  • 2650 Ridge Ave, Evanston, IL 60201-1700 · (847) 570-2827

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400X085010064 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1851174353

Regina Angeleyne Tan, PA-C's National Provider Identifier is 1851174353, issued on Aug 17, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Palos Heights, IL. The record was last updated on Mar 26, 2026.