Eiseman, Thomas A.

Eiseman, Thomas A. is an individual health care provider with primary practice located at 25 N Winfield Road , Winfield IL 60190. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Eiseman, Thomas A. can be contacted via phone (630) 933-4700.

Contact Information

Primary practice address
25 N Winfield Road Winfield IL 60190
Fax: (630) 933-4721
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036102548 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036102548 Illinois

Profile Details

NPI number 1073514360
LBN Legal business name Eiseman, Thomas A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Aug 16th, 2017 - about 7 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 1073514360 NPPES
Illinois Other 3631498336019001 HFS GROUP PAYEE ID
Illinois Other P00884750 HFS GROUP PAYEE ID
Illinois Other 0222075 HFS GROUP PAYEE ID
Illinois MEDICAID 036102548 HFS GROUP PAYEE ID
Illinois Other 206147 HFS GROUP PAYEE ID
Illinois Other CA4748 HFS GROUP PAYEE ID
Illinois Other 1033149844 HFS GROUP PAYEE ID

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