Smith, Thomas M

Smith, Thomas M is an individual health care provider with primary practice located at 1801 S Highland Ave # 220 , Lombard IL 60148-4932. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Smith, Thomas M can be contacted via phone (630) 790-1872.

Contact Information

Primary practice address
1801 S Highland Ave # 220 Lombard IL 60148-4932
Phone: (630) 790-1872
Fax: (630) 873-8812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5101016040 Michigan
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036123723 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 34.008112 Ohio
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 103723 Minnesota

Profile Details

NPI number 1538281035
LBN Legal business name Smith, Thomas M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Feb 11th, 2021 - 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 1538281035 NPPES
Minnesota MEDICAID ENROLLED

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