=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043531528
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | REBECCA WANTING TSANG M.D., M.P.H.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/18/2010
-----------------------------------------------------
Last Update Date | 03/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1732 CENTRAL ST
-----------------------------------------------------
City | EVANSTON
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60201-1508
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-256-1855
-----------------------------------------------------
Fax | 866-375-3001
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2150 PFINGSTEN RD STE 3000
-----------------------------------------------------
City | GLENVIEW
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60026-1314
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-657-1900
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RG0100X
-----------------------------------------------------
Taxonomy Name | Gastroenterology Physician
-----------------------------------------------------
License Number | 036.132789
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------