Thomas, Isaac

Thomas, Isaac is an individual health care provider with primary practice located at 3915 Oglesby Ave , Gurnee IL 60031-3358. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Thomas, Isaac can be contacted via phone (847) 336-1600.

Contact Information

Primary practice address
3915 Oglesby Ave Gurnee IL 60031-3358
Phone: (847) 336-1600
Fax: (847) 336-2380
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036063274 Illinois

Profile Details

NPI number 1083662894
LBN Legal business name Thomas, Isaac
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Aug 8th, 2011 - about 15 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 1083662894 NPPES
Illinois MEDICAID 036063274
Illinois Other 763284

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