Mayer, Thomas A.

Mayer, Thomas A. is an individual health care provider with primary practice located at 2151 Waukegan Rd Ste 100 , Bannockburn IL 60015. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Mayer, Thomas A. can be contacted via phone (847) 444-5300.

Contact Information

Primary practice address
2151 Waukegan Rd Ste 100 Bannockburn IL 60015
Phone: (847) 444-5300
Fax: (847) 267-1429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36069502 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 36069502 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 36069502 Illinois

Profile Details

NPI number 1013937150
LBN Legal business name Mayer, Thomas A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Oct 6th, 2020 - about 6 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 1013937150 NPPES
Illinois MEDICAID 36069502
Illinois Other L01384
Illinois Other 04915267
Illinois Other 110047112
Illinois Other K04929

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