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

Nikki Borah Tang, PA-C

Individual provider Physician Assistant · NPI 1598215022

Nikki Borah Tang, PA-C is a Physician Assistant in Deer Park, Illinois. Works from 3 locations. Licensed in California, Illinois and Utah.

Licensed in
CA, IL, UT
In the registry since
2016
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

21660 W Field Pkwy
Deer Park, IL 60010-7265
Phone: (888) 803-3370
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 333 1st St Ste A, San Francisco, CA 94105-2661 — (888) 803-3370
  • 350 E 400 S Ste 220, Salt Lake City, UT 84111-2993 — (888) 803-3370

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085006035 (IL)
Physician Assistant Taxonomy 363A00000X · Licence PA61936 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 14155593-1206 (UT)

Record details

NPI number1598215022
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 7, 2016
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024

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