Stieglitz, Thomas J

Stieglitz, Thomas J is an individual health care provider with primary practice located at 5668 E State St , Rockford IL 61108-2490. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Stieglitz, Thomas J can be contacted via phone (815) 397-7900.

Contact Information

Primary practice address
5668 E State St Rockford IL 61108-2490
Phone: (815) 397-7900
Fax: (815) 397-7919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X Illinois

Profile Details

NPI number 1528092194
LBN Legal business name Stieglitz, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 19 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 1528092194 NPPES
Wisconsin MEDICAID 30502500

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