Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 036.150665 | IL |
N | 207Q00000X | Family Doctor | 52059 | SC |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 036150665 | IL |
NPI | 1477947844 |
---|---|
Provider Name | Christopher Trong-Linh Than |
First Address | Chicago, IL 60631-3707 |
Second Address | Chicago, IL 60631 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2015 |
Last Update Date | 09/10/2020 |