Edward Tong, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36084251 Issued in IL

Practice address

105 E Burlington St
Ste C
Riverside, IL 60546-2382

Phone

(708) 442-0333

Fax

(708) 442-9863

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edward Tong M.D., P.C.

  • Family Medicine Physician
  • Riverside, IL
  • NPI 1154367639
  NPD (past) Authorized official

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1154326007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E BURLINGTON ST",
            "address_2": "STE C",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462382",
            "telephone_number": "708-442-0333",
            "fax_number": "708-442-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E BURLINGTON ST",
            "address_2": "STE C",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462382",
            "telephone_number": "708-442-0333",
            "fax_number": "708-442-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONG",
        "first_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36084251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036084251",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camarie Steward
• Emma Stuefen, LSW
• Priyanka Sultania Dudani, MD
• Raul Cayabyah Tamayo, MD
• Anna Tess, ED.D
• Treetop Therapy
• Emil Jay Vancura, M.D.
• Tonya Vander, LSW
• Erica Ann Vandervort, COTA
• Staci Michelle Vetrovsky, RD, LDN

• Family Medicine Physician in Riverside, IL
• Providers in Riverside, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.