Individual
KORATHU THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 W DIVISION ST, STE 210, CHICAGO, IL 60622
(773) 227-8870
(312) 770-3208
Mailing address
2222 W DIVISION ST, SUITE 210, CHICAGO, IL 60622
(773) 227-8870
(312) 772-3208
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036053507
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053507
—
IL
Enumeration date
07/25/2006
Last updated
05/18/2010
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