Lutz, Thomas A.

Lutz, Thomas A. is an individual health care provider with primary practice located at 1670 Capital St Ste 500 , Elgin IL 60124. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Phlebology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Lutz, Thomas A. can be contacted via phone (847) 468-9900.

Contact Information

Primary practice address
1670 Capital St Ste 500 Elgin IL 60124
Phone: (847) 468-9900
Fax: (847) 468-9901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Phlebology 202K00000X 036112147 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 61085-20 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35087011 Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036112147 Illinois

Profile Details

NPI number 1174623664
LBN Legal business name Lutz, Thomas A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated Apr 14th, 2022 - about 4 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 1174623664 NPPES
Illinois Other P00480520 MEDICARE RAILROAD PTAN

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