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:
Health care specialties
Specialty | Code | License # | 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 17 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 | 1477552677 | NPPES |
Illinois | MEDICAID | 016003749 |
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