Individual
THOMAS M. HUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPA-C
Contact information
Practice address
1 ERIE CT, SUITE 7120, OAK PARK, IL 60302-2566
(708) 848-4662
(708) 848-4695
Mailing address
1 ERIE CT, SUITE 7120, OAK PARK, IL 60302-2566
(708) 848-4662
(708) 848-4695
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170
CERTIFICATION NUMBER
—
Enumeration date
07/13/2006
Last updated
07/08/2007
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