Mientus, Thomas F

Mientus, Thomas F is an individual health care provider with primary practice located at 660 N Westmoreland Lake Forest Hospital, Lake Forest IL 60045-1696. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Mientus, Thomas F can be contacted via phone (847) 234-0049.

Contact Information

Primary practice address
660 N Westmoreland Lake Forest Hospital Lake Forest IL 60045-1696
Phone: (847) 234-0049
Fax: (847) 234-1946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036084906 Illinois

Profile Details

NPI number 1649248824
LBN Legal business name Mientus, Thomas F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Oct 7th, 2014 - about 10 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 1649248824 NPPES
Illinois Other 220021761 RR MCR
Illinois MEDICAID 0360849066 RR MCR

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