Maw, Thida
Maw, Thida is an individual health care provider with primary practice located at 892 Hampton Dr , Carol Stream IL 60188-2975. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Maw, Thida can be contacted via phone (630) 248-4873.Contact Information
Primary practice address
892 Hampton Dr
Carol Stream IL 60188-2975
Phone: (630) 248-4873
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036077605 | Illinois |
Profile Details
| NPI number | 1114927191 |
|---|---|
| LBN Legal business name | Maw, Thida |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Aug 31st, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114927191 | NPPES |
| Illinois | MEDICAID | 036077605 |
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