Individual
EDWARD TONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 E BURLINGTON ST, STE C, RIVERSIDE, IL 60546-2382
(708) 442-0333
(708) 442-9863
Mailing address
105 E BURLINGTON ST, STE C, RIVERSIDE, IL 60546-2382
(708) 442-0333
(708) 442-9863
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36084251
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084251
—
IL
Enumeration date
06/16/2005
Last updated
06/30/2010
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