JENNY TAN MD
NPI 1477513208
Pediatrics in St Charles, IL

Q: What is Jenny Tan's NPI number?

The NPI number for Jenny Tan is 1477513208. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is Jenny Tan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jenny Tan was last updated on January 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 24, 2006

3755 E MAIN ST, STE 190, ST CHARLES, IL 60174(630) 348-3100 Get Directions Write a Review

NPPES record last updated: January 27, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jenny Tan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNY TAN MD (NPI 1477513208) is an individual pediatrics provider in St Charles, Illinois, licensed in Illinois (036101643) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1477513208

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJENNY TANCredential: MD

Location Address3755 E MAIN ST, STE 190St Charles, IL 60174-2463

Mailing Address1860 Paysphere CirChicago, IL 60674-0018 · (630) 469-9200

Phone(630) 348-3100

Sole ProprietorNo

Enumeration DateMarch 24, 2006

Last NPPES UpdateJanuary 27, 2011

✔ NPI 1477513208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036101643

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3755 E MAIN ST, St Charles, IL 60174

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Other Identifiers 1

Medicaid036101643IL

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DULCE E. VAZQUEZ D.C.

Chiropractor

3755 E MAIN ST, SUITE 158
ST CHARLES, IL 60174

Kane County (630) 377-3344

ST. CHARLES PAIN AND WELLNESS CENTER, LLC

Chiropractor

3755 E MAIN ST, SUITE185
ST CHARLES, IL 60174

Kane County (630) 513-7770

CAREY NICOLE MILLER

Social Worker

3755 E MAIN ST
ST CHARLES, IL 60174

Kane County (630) 549-6245

INMOTION WHOLE HEALTH CENTER, INC

Chiropractor

3755 E MAIN ST, 158
ST CHARLES, IL 60174

Kane County (630) 377-3344

COVENANT HOME SERVICES

Nursing Care

3755 E MAIN ST, SUITE 165
ST CHARLES, IL 60174

Kane County (630) 845-0680

NAYYARA HAMEEDUDDIN MD

Pediatrics

3755 E MAIN ST, STE 190
ST CHARLES, IL 60174

Kane County (630) 348-3100

KIMBERLY GARCIA

Psychologist (Clinical Child & Adolescent)

3755 E MAIN ST
SAINT CHARLES, IL 60174

Kane County (630) 549-6245

DR. NANCY PORTILLO D.C.

Chiropractor

3755 E MAIN ST, SUITE 158
ST CHARLES, IL 60174

Kane County (630) 377-3344

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenny Tan's NPI number?

The NPI number for Jenny Tan is 1477513208. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Jenny Tan located?

Jenny Tan practices at 3755 E Main St Ste 190, St Charles, IL 60174. The listed phone number is (630) 348-3100.

What is Jenny Tan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jenny Tan was last updated on January 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.