Individual
HIEU TON-THAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, EMS BUILDING, MAYWOOD, IL 60153-3328
(708) 216-9000
(708) 327-3474
Mailing address
2160 S. FIRST AVENUE, EMS BUILDING, MAYWOOD, IL 60153
(708) 216-9000
(708) 327-3474
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036106817
IL
208600000X
Surgery Physician
11574
RI
2086S0102X
Surgical Critical Care Physician
11574
RI
2086S0127X
Trauma Surgery Physician
11574
RI
Other
Enumeration date
07/14/2005
Last updated
05/04/2021
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