KORATHU THOMAS, MD, S.C.
Ambulatory Health at Division St, Chicago, IL

License number
Illinois 036053507
Category
Ambulatory Health
Type
Infusion Therapy
Owner
Name: DR. KORATHU THOMAS M.D.
Title: PRESIDENT
Phone: (773) 283-9594
Address
Address 2
2222 W Division St, Chicago, IL 60622
PO Box 1201, Northbrook, IL 60065
National Provider ID: 1962709253
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KORATHU THOMAS, M.D., S.C

Northbrook, IL 60062

Registration:
Jul 23, 1981
State ID:
52463157
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Korathu Thomas,2825 Weller Ln, Northbrook, IL 60062 (Physical)

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