Individual
THOMAS MUKAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5375
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
75615
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100177705
—
WI
Enumeration date
05/21/2018
Last updated
08/10/2024
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