Carr, Thomas Carl

Carr, Thomas Carl is an sole proprietor health care provider with primary practice located at 467 W Erie St , Chicago IL 60654-5704. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Carr, Thomas Carl can be contacted via phone (312) 337-9900.

Contact Information

Primary practice address
467 W Erie St Chicago IL 60654-5704
Phone: (312) 337-9900
Fax: (312) 337-9902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016004401 Illinois

Profile Details

NPI number 1316932668
LBN Legal business name Carr, Thomas Carl
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2005
Last updated Feb 12th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316932668 NPPES
Illinois Other 60010789 BCBS
Illinois MEDICAID 016004401 BCBS

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