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

Tisha Joerla Mirasol Tan, MD

Individual provider Nephrology Physician · NPI 1881959872

Tisha Joerla Mirasol Tan, MD is a Nephrology in Crystal Lake, Illinois. Qualified in 2008, 18 years ago. Practices with Kidney Care Center Elgin LLC, an 8-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
18
Licensed in
IL
In the registry since
2012
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

442 N Il Route 31
Crystal Lake, IL 60012-3709
Phone: (224) 238-3211
Fax: (224) 535-8215
Show map & directions

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

Additional practice locations (1)

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 036137011 (IL)

Record details

NPI number1881959872
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2012
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 15, 2022

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Kidney Care Center Elgin Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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