Individual
MATHEW THAMBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, MPH
Contact information
Practice address
833 S WOOD ST, MC 886, CHICAGO, IL 60612-7229
(312) 996-0870
Mailing address
529 N GROVE AVE, OAK PARK, IL 60302-1653
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
051.286458
IL
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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