Individual provider · Type 1 NPI

Tisha Joerla Mirasol Tan, MD

Nephrology Physician · Crystal Lake, IL

NPI number 1881959872 Active

Practice location

442 N Il Route 31
Crystal Lake, IL 60012-3709

Call (224) 238-3211 Map

Fax (224) 535-8215

Mailing address

PO Box 3877
Joliet, IL 60434-3877

Other practice locations

1670 Capital St Unit 900, Elgin, IL 60124-7837 · (847) 285-1908

Specialties and licenses

Taxonomy	Code	License
Nephrology Physician Primary	207RN0300X	036137011 (IL)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

7 other providers at this address

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About NPI 1881959872

Tisha Joerla Mirasol Tan, MD's National Provider Identifier is 1881959872, issued on Jul 6, 2012. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Crystal Lake, IL. The record was last updated on Sep 15, 2022.