Marshall, Thomas E.

Marshall, Thomas E. is an individual health care provider with primary practice located at 430 Pennsylvania Ave Ste 310, Glen Ellyn IL 60137-4464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Marshall, Thomas E. can be contacted via phone (630) 790-1792.

Contact Information

Primary practice address
430 Pennsylvania Ave Ste 310 Glen Ellyn IL 60137-4464
Phone: (630) 790-1792
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036059776 Illinois

Profile Details

NPI number 1043202054
LBN Legal business name Marshall, Thomas E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Aug 10th, 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 1043202054 NPPES
Illinois MEDICAID 036059776

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