| Thwan H. Han Md Ltd | |
|
2350 Benton St Granite City IL 62040-3330 | |
| (618) 877-0709 | |
| (618) 877-8159 |
| Full Name | Thwan H. Han Md Ltd |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2350 Benton St, Granite City, Illinois |
| Authorized Official Name and Position | Thwan Ham Han (PRESIDENT) |
| Authorized Official Contact | 6188770709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thwan H. Han Md Ltd 2350 Benton St Granite City IL 62040-3330 Ph: (618) 877-0709 | Thwan H. Han Md Ltd 2350 Benton St Granite City IL 62040-3330 Ph: (618) 877-0709 |
| NPI Number | 1104058775 |
|---|---|
| Provider Enumeration Date | 08/17/2009 |
| Last Update Date | 08/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104058775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036045719 (Illinois) | Primary |
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