Witt, Thomas Roy

Witt, Thomas Roy is an individual health care provider with primary practice located at 1725 W Harrison Suite 409, Chicago IL 60612. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Witt, Thomas Roy can be contacted via phone (312) 942-2302.

Contact Information

Primary practice address
1725 W Harrison Suite 409 Chicago IL 60612
Phone: (312) 942-2302
Fax: (312) 563-2228
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X Illinois
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X Illinois

Profile Details

NPI number 1669560314
LBN Legal business name Witt, Thomas Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 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 1669560314 NPPES
Illinois Other 31600089 BCBS

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