Individual
SAI SI THU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 MEMORIAL DR STE 250, BELLEVILLE, IL 62226-5373
(618) 235-3378
Mailing address
4700 MEMORIAL DR STE 250, BELLEVILLE, IL 62226-5373
(618) 235-3378
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036159343
IL
Other
Enumeration date
03/31/2016
Last updated
07/06/2022
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