Shelly H Tien M.D.

NPI 1457500787 - Obstetrics & Gynecology - 207VM0101X

NPI Details
NPI 1457500787
Gender Female
Enumeration Date 09/10/2008
Last Updated 07/07/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
2650 RIDGE AVE
STE. 1420
EVANSTON IL, 60201-1718, US
Phone (847) 570-2860
Fax
Business Location
1890 MAPLE AVE
APARTMENT 1105E
EVANSTON IL, 60201-3159, US
Phone
Fax
Toxanomy
Taxonomy Code 207VM0101X
License State Illinois
License Number 036.128275
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According to our database, Shelly H Tien M.D. NPI is 1457500787, taxonomy code is 207VM0101X and license number is 036.128275, license state is located at Illinois. Shelly H Tien M.D. physically located at 2650 Ridge Ave, Evanston IL, 60201-1718. NPI Number Shelly H Tien M.D. has the Individual type.

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1457500787 NPI number is provided on an as is basis without warranty of any kind. 1457500787 is maintained by the National Plan & Provider Enumeration System. The contents of Shelly H Tien M.D. are for informational purposes only.