BABY MIN THAN


Address: 2000 Lake Ave, Woodstock, IL 60098
Phone: 8153377100

BABY MIN THAN (NPI# 1033371554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033371554
Entity Type Individual
Full Name BABY MIN THAN
Credential MD
Practice Address 2000 Lake Ave
Woodstock
IL 60098
Mailing Address 2000 Lake Ave
Woodstock
IL 60098-7401
Practice Telephone 8153377100
Practice Fax Number 8153378152
Mailing Telephone 8153377100
Mailing Fax Number 8153378152
Enumeration Date 2008-06-26
Last Update Date 2018-07-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 036134250 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL STATE LICENSE 036134250 01
IL 036134250 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1465 Commerce Dr, Algonquin, IL 601025916 8476580100 8476580104

Office Location

Street Address 2000 LAKE AVE
City WOODSTOCK
State IL
Zip Code 60098

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750389953 Anil K Khemani Internal Medicine 2000 Lake Ave, Woodstock, IL 60098-7401 2005-07-12
1497373286 Michelle T Gahgan Nurse Practitioner 2000 Lake Ave, Woodstock, IL 60098-7401 2020-07-08
1417456476 Matthew R. Banks Physical Therapy Assistant 2000 Lake Ave, Woodstock, IL 60098-7401 2018-02-06
1801247176 Guoqing Song Physician Assistant 2000 Lake Ave, Woodstock, IL 60098-7401 2016-06-28
1114398930 Norman J Mecwan Physical Therapist 2000 Lake Ave, Woodstock, IL 60098-7401 2015-10-20
1669883971 Jenna M Raju Physician Assistant 2000 Lake Ave, Woodstock, IL 60098-7401 2014-05-09
1508281114 Lawrence Thomas Walsh Jr. Pharmacist 2000 Lake Ave, Woodstock, IL 60098-7401 2014-02-19
1548696404 Laura Lynn Dickman Registered Nurse 2000 Lake Ave, Woodstock, IL 60098-7401 2013-09-23
1922346220 Naomi M Tamparong Registered Nurse 2000 Lake Ave, Woodstock, IL 60098-7401 2013-01-21
1649523838 Kelly Marie Winkelman Registered Nurse 2000 Lake Ave, Woodstock, IL 60098-7401 2012-10-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083197453 Abb Dental Group LLC Dentist 11585 Us 14, Woodstock, IL 60098 2018-09-12
1396256467 Gezelle Adams Social Worker 1200 Walden Oaks Dr, Woodstock, IL 60098 2017-10-17
1861910721 Letitia Susan Edgell Technician 503 Lawndale Ave., Woodstock, IL 60098 2017-08-31
1104355460 Jessica Evertsen Doula 435 Laurel Ave, Woodstock, IL 60098 2017-06-08
1871026724 Bo Yeon Bartilotta Dentist 11585 Us-14, Woodstock, IL 60098 2017-04-07
1619337185 Julia Karibian Community Health Worker 2983 Strauss Court, Woodstock, IL 60098 2016-02-26
1407249170 Julia Bonti Counselor 13318 Hickory Ln, Woodstock, IL 60098 2015-03-05
1427485580 Sara E Smedinghoff Physical Therapy Assistant 708 Washington Street, Woodstock, IL 60098 2013-10-03
1669721783 Robert Eugene Haraden Dentist 651 S. Eastwood Dr, Woodstock, IL 60098 2012-09-05
1831447440 Carla Peltier Social Worker 101 South Jefferson Street, Woodstock, IL 60098 2012-08-29
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245844489 Jovita Zalwango Nassolo Family Medicine 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 2020-09-04
1649623414 Emily Chan Family Medicine 759 S Main St Ste 310, Woodstock, VA 22664-1156 2016-07-18
1164843389 Stacey A O'brien Family Medicine 14205 Highway 92 Ste 105, Woodstock, GA 30188-7138 2013-12-16
1386997765 Weatherstone Medical Care LLC. Family Medicine 3203 S Cherokee Ln, Suite 220, Woodstock, GA 30188-4461 2012-10-22
1629396585 Lata Parvathaneni Family Medicine 900 Towne Lake Pkwy Ste 410, Woodstock, GA 30189-1604 2010-05-17
1992934400 Donn J. Wiedershine, M.d., P.C. Family Medicine 62 Ricks Road, Woodstock, NY 12498 2009-07-06
1699899096 Hugh P Hermann Family Medicine Hugh P. Hermann, 4 The Green, Woodstock, VT 05091 2007-03-19
1538293725 Hugh P. Hermann, M.d. Family Medicine 4 The Grn, Woodstock, VT 05091-1345 2007-03-16
1912038142 Northside Family Practice, LLC Family Medicine 100 Stone Forest Drive, Suite 320, Woodstock, GA 30189 2007-03-08
1336224260 Jacob Ward Family Medicine 1200 Buckhead Xing Ste B, Woodstock, GA 30189-4259 2006-10-26
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Competitor

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City WOODSTOCK
Zip Code 60098

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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