Kiely, Thomas

Kiely, Thomas is an individual health care provider with primary practice located at 3000 N Halsted St Suite 301, Chicago IL 60657-5188. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Kiely, Thomas can be contacted via phone (773) 296-7160.

Contact Information

Primary practice address
3000 N Halsted St Suite 301 Chicago IL 60657-5188
Phone: (773) 296-7160
Fax: (773) 296-3440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016003749 Illinois

Profile Details

NPI number 1477552677
LBN Legal business name Kiely, Thomas
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jul 8th, 2007 - about 18 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 1477552677 NPPES
Illinois MEDICAID 016003749

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