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Individual

DR. THEODORE TOERNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4440 W 95TH ST, DEPARTMENT OF EMERGENCY MEDICINE, OAK LAWN, IL 60453-2600
(708) 684-5354
(708) 684-1028
Mailing address
66 W 15TH ST, CHICAGO, IL 60605-2727
(312) 922-1553
(312) 922-1553

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2282-320
WI
207P00000X
Emergency Medicine Physician
Primary
360940030
IL
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
360940030
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
360940030
IL
Enumeration date
08/03/2006
Last updated
05/02/2024
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