NPI 1053990895

Kevin Tom, DO

Practitioner Emergency Medicine Physician Hazel Crest, IL

Practice location

Address: 17800 Kedzie Ave, Hazel Crest, IL 60429-2029
Phone: (708) 213-4200
Fax: (773) 967-4205
Mailing address: 29373 Network Pl, Chicago, IL 60673-1293

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 036-166065 (IL)

Other Emergency Medicine providers in Illinois →

Registry record

NPI: 1053990895
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Apr 2021
Record last updated: 7 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.