Healthcare Provider Details
I. General information
NPI: 1740818459
Provider Name (Legal Business Name): THOMAS STRINGER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/29/2020
Last Update Date: 05/11/2023
Certification Date: 05/11/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4440 W 95TH ST
OAK LAWN IL
60453-2600
US
IV. Provider business mailing address
5841 S MARYLAND AVE
CHICAGO IL
60637-1443
US
V. Phone/Fax
- Phone: 708-684-8000
- Fax:
- Phone: 773-702-1000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 125.076515 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: