Individual
DR. THU T TO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
18 W 1ST ST, HINSDALE, IL 60521-4173
(630) 323-1100
Mailing address
909 NEUDEARBORN LN, NAPERVILLE, IL 60563-4172
(651) 210-1570
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1636706
BCBS
IL
01
—
211019
MEDICARE GROUP
—
01
—
7235044
AETNA
IL
Enumeration date
10/27/2006
Last updated
03/07/2023
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