Austin, Tonja R

Austin, Tonja R is an individual health care provider with primary practice located at 16650 Harlem Ave Ste 1 , Tinley Park IL 60477-1847. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Austin, Tonja R can be contacted via phone (708) 444-1512.

Contact Information

Primary practice address
16650 Harlem Ave Ste 1 Tinley Park IL 60477-1847
Phone: (708) 444-1512
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036103250 Illinois

Profile Details

NPI number 1558375030
LBN Legal business name Austin, Tonja R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Dec 14th, 2021 - about 5 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 1558375030 NPPES
Illinois MEDICAID 36103250

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