Individual
DR. THANH SON THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
137 N OAK PARK AVE STE 209, OAK PARK, IL 60301-1340
(872) 216-2227
(872) 228-8006
Mailing address
137 N OAK PARK AVE STE 209, OAK PARK, IL 60301-1340
(872) 216-2227
(872) 228-8006
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036123833
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036123833
—
IL
01
—
IL3952004
MEDICARE PTAN
IL
Enumeration date
08/04/2008
Last updated
02/07/2022
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