Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicholas Tan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417643040

Nicholas Tan, MD is a Student in an Organized Health Care Education/Training Program in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2650 Ridge Ave Ste 1304
Evanston, IL 60201-1700
Phone: (847) 570-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125.084523 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417643040
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2023
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing address180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686

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