Joseph, Thomas

Joseph, Thomas is an sole proprietor health care provider with primary practice located at 9760 S Kedzie Ave Suite 2, Evergreen Park IL 60805-3109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Joseph, Thomas can be contacted via phone (708) 423-6209.

Contact Information

Primary practice address
9760 S Kedzie Ave Suite 2 Evergreen Park IL 60805-3109
Phone: (708) 423-6209
Fax: (708) 423-9021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036084895 Illinois

Profile Details

NPI number 1306836663
LBN Legal business name Joseph, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2005
Last updated Sep 20th, 2011 - about 13 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 1306836663 NPPES
Illinois MEDICAID 036084895

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