Provider Demographics
NPI:1316049208
Name:TONG, STEVE J (RPH)
Entity type:Individual
Prefix:MR
First Name:STEVE
Middle Name:J
Last Name:TONG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 DURANGO CT
Mailing Address - Street 2:
Mailing Address - City:GILBERTS
Mailing Address - State:IL
Mailing Address - Zip Code:60136-4087
Mailing Address - Country:US
Mailing Address - Phone:847-841-7457
Mailing Address - Fax:
Practice Address - Street 1:548 E DEVON AVE
Practice Address - Street 2:
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-4669
Practice Address - Country:US
Practice Address - Phone:847-437-2050
Practice Address - Fax:847-437-2062
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist