Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Regina Angeleyne Tan, PA-C

Individual provider Physician Assistant · NPI 1851174353

Regina Angeleyne Tan, PA-C is a Physician Assistant in Palos Heights, Illinois. Qualified in 2023, 3 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

12251 S 80th Ave Ste 1520
Palos Heights, IL 60463-1290
Phone: (708) 923-4200
Fax: (708) 923-4201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085010064 (IL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1851174353
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 17, 2023
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Palos Heights