Individual
THOMAS K RHEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 W EDISON RD, STE 110, MISHAWAKA, IN 46545-2784
(574) 258-1100
(574) 258-1101
Mailing address
620 W EDISON RD, STE 110, MISHAWAKA, IN 46545-2784
(574) 258-1100
(574) 258-1101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036112829
IL
2085R0202X
Diagnostic Radiology Physician
Primary
01069738
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036112829
ILLINOIS STATE LICENSE
IL
05
—
201022940
—
IN
Enumeration date
08/04/2008
Last updated
05/16/2013
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