Vasdekas, Thomas J

Vasdekas, Thomas J is an sole proprietor health care provider with primary practice located at 15300 West Ave Ste 202 , Orland Park IL 60462-4683. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Vasdekas, Thomas J can be contacted via phone (708) 349-0055.

Contact Information

Primary practice address
15300 West Ave Ste 202 Orland Park IL 60462-4683
Phone: (708) 349-0055
Fax: (708) 460-8031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036068616 Illinois

Profile Details

NPI number 1275630253
LBN Legal business name Vasdekas, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Oct 12th, 2016 - about 10 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 1275630253 NPPES
Illinois Other 020016372 PALMETTO RR MEDICARE
Illinois Other 31604034 PALMETTO RR MEDICARE
Illinois MEDICAID 036068616 PALMETTO RR MEDICARE

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