Individual
LINDA TIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3231 SOUTH EUCLID AVE, 5TH FLOOR, BERWYN, IL 60402-3471
(708) 783-2000
(708) 783-3656
Mailing address
3231 SOUTH EUCLID AVE, 5TH FLOOR, BERWYN, IL 60402-3471
(708) 783-2000
(708) 783-3656
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LT3232267556
MEDICAID
—
Enumeration date
04/05/2014
Last updated
03/28/2017
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