Thai, Thanh Son

Thai, Thanh Son is an individual health care provider with primary practice located at 137 N Oak Park Ave Ste 209 , Oak Park IL 60301-1340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Thai, Thanh Son can be contacted via phone (872) 216-2227.

Contact Information

Primary practice address
137 N Oak Park Ave Ste 209 Oak Park IL 60301-1340
Phone: (872) 216-2227
Fax: (872) 228-8006
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036123833 Illinois

Profile Details

NPI number 1679739148
LBN Legal business name Thai, Thanh Son
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2008
Last updated Feb 7th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679739148 NPPES
Illinois MEDICAID 036123833
Illinois Other IL3952004

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