Dwyer, Thomas S

Dwyer, Thomas S is an individual health care provider with primary practice located at 2111 Midlands Ct , Sycamore IL 60178-3125. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Dwyer, Thomas S can be contacted via phone (815) 758-0000.

Contact Information

Primary practice address
2111 Midlands Ct Sycamore IL 60178-3125
Phone: (815) 758-0000
Fax: (815) 758-8521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016-003526 Illinois

Profile Details

NPI number 1114032372
LBN Legal business name Dwyer, Thomas S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Oct 1st, 2020 - about 5 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 1114032372 NPPES
Illinois Other 01915167 BLUE CROSS/BLUE SHIELD
Illinois MEDICAID 016003526 BLUE CROSS/BLUE SHIELD
Illinois Other 0359580001 BLUE CROSS/BLUE SHIELD
Illinois Other 008866 BLUE CROSS/BLUE SHIELD
Illinois Other 480032269 BLUE CROSS/BLUE SHIELD

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