Thandupurakal, Thomas Varghese

Thandupurakal, Thomas Varghese is an individual health care provider with primary practice located at 248 E Grand Ave , Fox Lake IL 60020-1630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Thandupurakal, Thomas Varghese can be contacted via phone (847) 587-6333.

Contact Information

Primary practice address
248 E Grand Ave Fox Lake IL 60020-1630
Phone: (847) 587-6333
Fax: (847) 587-4839
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-053505 Illinois

Profile Details

NPI number 1841285640
LBN Legal business name Thandupurakal, Thomas Varghese
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2005
Last updated Aug 2nd, 2017 - about 9 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 1841285640 NPPES
Illinois MEDICAID 036053505

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