Organization
KORATHU THOMAS, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORATHU THOMAS M.D. (PRESIDENT)
(773) 227-8870
Entity
Organization
Contact information
Practice address
2222 W DIVISION ST, SUITE 210, CHICAGO, IL 60622
(773) 227-8870
(312) 770-3208
Mailing address
PO BOX 1201, NORTHBROOK, IL 60065-1201
(773) 283-9594
(773) 283-6711
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036053507
IL
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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