Thwan H. Han MD LTD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036045719 Issued in IL

Legal business name

THWAN H. HAN MD LTD

Practice address

2350 Benton St
Granite City, IL 62040-3330

Phone

(618) 877-0709

Fax

(618) 877-8159

NPI assigned

Aug 17, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thwan Ham Han, MD

Title

President

Phone

(618) 877-0709

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margaret A Feinberg, LCSW

  • Clinical Social Worker
  • Granite City, IL
  • NPI 1548329808
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1104058775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 BENTON ST",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620403330",
            "telephone_number": "618-877-0709",
            "fax_number": "618-877-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 BENTON ST",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620403330",
            "telephone_number": "618-877-0709",
            "fax_number": "618-877-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THWAN H. HAN MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "THWAN",
        "authorized_official_middle_name": "HAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-877-0709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036045719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Donisha Thompson
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• Psychiatry Physician in Granite City, IL
• Providers in Granite City, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.