Individual
KATHY TIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-1840
(708) 684-1841
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-5450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.159933
IL
207RI0200X
Infectious Disease Physician
Primary
036.159933
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2019
Last updated
08/08/2024
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