MEDICARE: MR. TOMAS TOTH RRT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2278C0205X	Critical Care Certified Respiratory Therapist

General Provider Information

NPI Number	:	1245942895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TOMAS TOTH RRT

Provider Business Mailing Address
First Line	:	1749 N LARRABEE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-5621
Country	:	US
Telephone Number	:	773-673-0940
Fax Number	:

Provider Business Practice Location Address
First Line	:	1749 N LARRABEE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-5621
Country	:	US
Telephone Number	:	773-673-0940
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2022
Last Update Date	:	12/14/2022

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