Individual
TONY BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
65 AIRPORT RD, SAVOY, IL 61874-9806
(217) 355-1990
Mailing address
703 S WABASH AVE, URBANA, IL 61801-4409
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005260
IL
Other
Enumeration date
06/29/2014
Last updated
03/12/2021
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