Individual
HERMON TONEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
6937 S CONSTANCE AVE, CHICAGO, IL 60649-1507
(312) 925-3260
Mailing address
6937 S CONSTANCE AVE, CHICAGO, IL 60649-1507
(312) 925-3260
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
238000006
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238000006
STATE LICENSE
IL
Enumeration date
05/09/2007
Last updated
05/21/2013
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