DR. ALBERT C TANLIM (NPI# 1659342665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659342665 |
Entity Type | Individual |
Full Name | DR. ALBERT C TANLIM |
Credential | MD |
Practice Address |
845 S 4th St Roberts Clinic Ltd Watseka IL 60970-1628 |
Mailing Address |
819 W Lafayette St #93 Watseka IL 60970 |
Practice Telephone | 8154322461 |
Practice Fax Number | 8154322535 |
Mailing Telephone | 8154324743 |
Enumeration Date | 2006-01-28 |
Last Update Date | 2013-04-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
036091262 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036091262 | 05 | |
IL | 3711693620021 | 05 | |
IN | 200386800A | 05 | |
PIN | K10959 | 01 | |
IL | BC BS | 03815080 | 01 |
Street Address |
845 S 4TH ST ROBERTS CLINIC LTD |
City | WATSEKA |
State | IL |
Zip Code | 60970-1628 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376189167 | Malinda S Mustered | Occupational Therapist | 825 S Belmont Ave, Watseka, IL 60970 | 2019-11-27 |
1558889188 | K-shayla Lafayette | Nurse Practitioner | 200 E. Fairman Ave., Watseka, IL 60970 | 2017-09-04 |
1144354879 | Pamela H. Beall | Counselor | 1801 N. State Route 1, Suite 2, Watseka, IL 60970 | 2007-03-15 |
1528111879 | Spine Clinics of America Sc | Chiropractor | 425 E. Walnut Street, Watseka, IL 60970 | 2007-01-19 |
1699833970 | Shakeel Sher Khan Sandozi | Surgery | 625 S Fifth Street, Watseka, IL 60970 | 2006-12-05 |
1790859866 | David Charles Nagele | Dentist | 130 N Littelfuse Ln, Suite 101, Watseka, IL 60970 | 2006-11-20 |
1942389259 | John M Rose | Dentist | 316 E Lincoln Ave, Watseka, IL 60970 | 2006-11-06 |
1952324279 | Bonita Jean Rajala | Counselor | 617 East Grant St., Watseka, IL 60970 | 2006-07-26 |
1396978177 | Allison Shindelar | Social Worker | 323 Wmulberry St, Watseka, IL 60970-0332 | 2009-08-27 |
1356441539 | Petersen Health Operations, LLC | Skilled Nursing Facility | 900 N Market St, Watseka, IL 60970-1048 | 2006-09-25 |
Find all providers in zip 60970 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033343132 | Richard Joseph Wallyn | Internal Medicine | 1300 Brassie Ave., Flossmoor, IL 60422-1812 | 2009-05-05 |
1477752160 | Arthur Hoffman | Internal Medicine | 2652 Broadway Ave, Evanston, IL 60201 | 2007-07-13 |
1659300796 | Abhin Singla | Internal Medicine | 801 N Larkin Ave Ste 101, Joliet, IL 60435 | 2006-07-01 |
1841238979 | Mysore N Shivaram | Internal Medicine | 6901 Cermak Rd, Berwyn, IL 60402-2160 | 2006-06-02 |
1184189672 | Calumet Counseling and Dui Services,inc | Internal Medicine | 1010 W 95th St, Chicago, IL 60643-1522 | 2019-02-08 |
1407395346 | Bhs Physician Services of Illinois PC | Internal Medicine | 1237 E 1600 North Rd, Gilman, IL 60938-6112 | 2017-02-13 |
1588929525 | Opioid Addiction Recovery Services PC | Internal Medicine | 755 S Milwaukee Ave, Suite 210, Libertyville, IL 60048-3253 | 2012-07-05 |
1376819565 | Sahar Eftekhar | Internal Medicine | 1 E Superior St Ste 306, Chicago, IL 60611-2595 | 2012-04-01 |
1942585468 | Ngu Md. Wellness Ltd. | Internal Medicine | 400 E Randolph St, Apt 2711, Chicago, IL 60601-7329 | 2011-10-15 |
1184934036 | Mary S Wenzel | Internal Medicine | 3730 N Lake Shore Dr, Chicago, IL 60613-4236 | 2010-10-13 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.