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Individual

THIDA MAW I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
892 HAMPTON DR, CAROL STREAM, IL 60188-2975
(630) 248-4873
Mailing address
892 HAMPTON DR, CAROL STREAM, IL 60188-2975

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036077605
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036077605
IL
Enumeration date
07/29/2005
Last updated
08/31/2023
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