Cronin, Thomas G

Cronin, Thomas G is an individual health care provider with primary practice located at 355 Ridge Ave , Evanston IL 60202-3328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Cronin, Thomas G can be contacted via phone (847) 316-2561.

Contact Information

Primary practice address
355 Ridge Ave Evanston IL 60202-3328
Phone: (847) 316-2561
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036051212 Illinois

Profile Details

NPI number 1730128885
LBN Legal business name Cronin, Thomas G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Sep 25th, 2013 - about 12 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 1730128885 NPPES
Illinois MEDICAID 036051212
Illinois Other P01159837

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