Grobelny, Thomas
Grobelny, Thomas is an sole proprietor health care provider with primary practice located at 1700 Luther Ln Ste 1170 , Park Ridge IL 60068-1270. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Grobelny, Thomas can be contacted via phone (844) 376-3876.Contact Information
Primary practice address
1700 Luther Ln Ste 1170
Park Ridge IL 60068-1270
Phone: (844) 376-3876
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 04-28765 | Kansas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 200155001 | Missouri |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036114911 | Illinois |
Profile Details
| NPI number | 1053388371 |
|---|---|
| LBN Legal business name | Grobelny, Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2006 |
| Last updated | Apr 20th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053388371 | NPPES |
| Illinois | MEDICAID | 036114911 |
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