Individual
CHRISTOPHER TRONG-LINH THAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1715 E 95TH ST, CHICAGO, IL 60617-4708
(773) 768-4437
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.150665
IL
207Q00000X
Family Medicine Physician
52059
SC
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
036150665
IL
Other
Enumeration date
03/24/2015
Last updated
06/06/2025
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