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Amado Tan III

NPI 1639075120ActiveIndividual· Registered Nurse, Administrator· Hines, IL

Registered Nurse, Administrator in Hines, Illinois, licensed in IL, with an NPI issued in October 2026.

Overview

NPI1639075120
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedOct 20, 2026
Last updated in NPPESOct 20, 2026
Certified by providerOct 20, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Registered Nurse, Administrator Primary163WA2000X041452931IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Registered Nurse, Administrator providers in Hines

All Registered Nurse, Administrator providers in Illinois