Dovidio, Thomas

Dovidio, Thomas is an individual health care provider with primary practice located at 3310 W Main St Suite 200, St Charles IL 60175-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dovidio, Thomas can be contacted via phone (630) 897-6044.

Contact Information

Primary practice address
3310 W Main St Suite 200 St Charles IL 60175-1000
Phone: (630) 897-6044
Fax: (630) 897-0180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036116448 Illinois

Profile Details

NPI number 1316141203
LBN Legal business name Dovidio, Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Dec 7th, 2021 - about 4 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 1316141203 NPPES
Illinois MEDICAID 036116448

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